Provider Demographics
NPI:1730252099
Name:BOYD, RODNEY WAYNE
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:WAYNE
Last Name:BOYD
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:RODNEY
Other - Middle Name:WYANE
Other - Last Name:BOYD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:22972 MOULTON PARKWAY
Mailing Address - Street 2:SUITE #106
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1219
Mailing Address - Country:US
Mailing Address - Phone:949-770-3010
Mailing Address - Fax:949-837-5410
Practice Address - Street 1:22972 MOULTON PARKWAY
Practice Address - Street 2:SUITE #106
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1219
Practice Address - Country:US
Practice Address - Phone:949-770-3010
Practice Address - Fax:949-837-5410
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39760122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist