NPI 1063539849 · live from the CMS NPI Registry
Paul Richard Boecler, D.M.D., M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Cartersville, GA. National Provider Identifier 1063539849, active.
NPI record
| NPI | 1063539849 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 958 Joe Frank Harris Pkwy Se Bldg A, Suite 104, Cartersville, GA 30120 |
| Practice phone | 770-386-2442 |
| Enumerated | March 25, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN009792 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.