Provider Demographics
NPI:1144665613
Name:BOYNTON, ROBERT DEWEY JR (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DEWEY
Last Name:BOYNTON
Suffix:JR
Gender:M
Credentials:DDS
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Mailing Address - Street 1:51 LOCUST ST
Mailing Address - Street 2:SUITE #2
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2545
Mailing Address - Country:US
Mailing Address - Phone:413-584-3741
Mailing Address - Fax:413-582-0485
Practice Address - Street 1:51 LOCUST ST
Practice Address - Street 2:SUITE #2
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2545
Practice Address - Country:US
Practice Address - Phone:413-584-3741
Practice Address - Fax:413-582-0485
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA153011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice