Provider Demographics
NPI:1699151993
Name:JANET L BOYES PC
Entity type:Organization
Organization Name:JANET L BOYES PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BOYES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:641-529-0291
Mailing Address - Street 1:2606 17TH ST
Mailing Address - Street 2:
Mailing Address - City:SPIRIT LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:51360-1093
Mailing Address - Country:US
Mailing Address - Phone:712-336-3037
Mailing Address - Fax:
Practice Address - Street 1:2606 17TH ST
Practice Address - Street 2:
Practice Address - City:SPIRIT LAKE
Practice Address - State:IA
Practice Address - Zip Code:51360-1093
Practice Address - Country:US
Practice Address - Phone:712-336-3037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA09115122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty