TERRY L BOONE DDS PA NPI 1609471895

NPI Information

  • NPI: 1609471895
  • Provider Name: TERRY L BOONE DDS, PA
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 7197 SHERIDAN RD STE 115
    WHITE HALL, AR
    ZIP 71602
  • Phone: (870) 267-1423

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NPI Details

TERRY L BOONE DDS, PA is a dental clinic center in White Hall, AR. TERRY L BOONE DDS, PA NPI is 1609471895. The provider is registered as an organization entity type.

The provider's business location address is:

7197 SHERIDAN RD STE 115
WHITE HALL, AR
ZIP 71602-261
Phone: (870) 267-1423

The provider's authorized official is Terry L Boone .
The authorized official title is Owner and has the following contact phone number (870) 267-1423.

The enumeration date for this NPI number is 12/3/2020 and was last updated on 12/8/2020.

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
1261QD0000XClinic/CenterDentalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102144608MEDICAIDARKANSAS

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: 11/21/2025

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