Provider Type Icon

DR. JENNIFER N. BOLES DDS LLC NPI 1225308398


NPI Information

NPI: 1225308398
Provider Name: DR. JENNIFER N. BOLES, DDS, LLC

Doing Business As: SOUTHERN SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
902 JULIA ST
RAYVILLE, LA
ZIP 71269
Phone: (318) 728-8773
Get Directions

DR. JENNIFER N. BOLES, DDS, LLC is a general practice dentist in Rayville, LA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. JENNIFER N. BOLES, DDS, LLC NPI is 1225308398. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southern Smiles.

The provider's business location address is:

902 JULIA ST
RAYVILLE, LA
ZIP 71269-618
Phone: (318) 728-8773
Fax: (318) 728-8787

The provider's authorized official is Jennifer Newton Boles .
The authorized official title is Owner and has the following contact phone number (318) 248-4986.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 3/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice5050LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.