Clint Boyle, DMD
NPI 1851670152 · on the registry since 2011 · sole proprietor
Practice
- Address
- 107 S Prospect Rd
Bloomington, IL 61704 - Phone
- (309) 663-0433
- Organisation at this address
- Maple Shade Dental Bloomington Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-08-04
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