Clint Boyle, DMD

Dentist · Bloomington, IL

Individual Active NPI

NPI number 1851670152

Practice location

107 S Prospect Rd
Bloomington, IL 61704-4403
Phone
(309) 663-0433

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NPI record

NPI
1851670152
Entity type
Individual (Type 1)
Enumeration date
August 4, 2011
Last updated
August 4, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019028642 IL

About Dr. Boyle

Clint Boyle, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 107 S Prospect Rd, Bloomington, IL 61704-4403. The NPI number 1851670152 was assigned on August 4, 2011 and the record was last updated on August 4, 2011.

Dr. Boyle lists a license in the registry: #019028642 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clint Boyle, DMD?

The NPI number is 1851670152.

What is the phone number of Dr. Boyle?

The phone number listed for the practice location is (309) 663-0433.

Where is Dr. Boyle located?

107 S Prospect Rd, Bloomington, IL 61704-4403.

What is the taxonomy code for Dr. Boyle?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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