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Richard Boatman, DMD
NPI 1659439859 · on the registry since 2006 · sole proprietor
Practice
- Address
- 606 Edwardsville Rd
Troy, IL 62294 - Phone
- (618) 667-8020
- Fax
- (618) 667-8078
- Organisation at this address
- Gateway Dental Group, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois