Provider Demographics
NPI:1538165998
Name:BOICE, PATRICIA A (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:A
Last Name:BOICE
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:803 N 36TH ST
Mailing Address - Street 2:STE A
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3091
Mailing Address - Country:US
Mailing Address - Phone:816-279-8300
Mailing Address - Fax:816-279-2579
Practice Address - Street 1:803 N 36TH ST
Practice Address - Street 2:STE A
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3091
Practice Address - Country:US
Practice Address - Phone:816-279-8300
Practice Address - Fax:816-279-2579
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO0146841223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics