Provider Demographics
NPI:1992945992
Name:BOYLE, PATRICK NEILL (DMD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:NEILL
Last Name:BOYLE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 N MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-4363
Mailing Address - Country:US
Mailing Address - Phone:724-431-6421
Mailing Address - Fax:724-431-6432
Practice Address - Street 1:612 N MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-4363
Practice Address - Country:US
Practice Address - Phone:724-431-6421
Practice Address - Fax:724-431-6432
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030949L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist