DR. MACKENZIE ELIZABETH BOYLES-HORAN (NPI# 1689054801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689054801 |
| Entity Type | Individual |
| Full Name | DR. MACKENZIE ELIZABETH BOYLES-HORAN |
| Credential | D.D.S. |
| Practice Address |
1315 Morgantown Ave Fairmont WV 26554-4505 |
| Practice Telephone | 3047774113 |
| Mailing Telephone | 3047774113 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4154 | WV | Dental Providers |
| Street Address |
1315 MORGANTOWN AVE |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720468614 | Kurt Daniel Erickson | Dentist | 1950 Center Creek Dr Ste 200, Fairmont, MN 56031-3430 | 2015-06-04 |
| 1255615209 | Jennifer H. Mcbee Dds Pllc | Dentist | 1836 Locust Ave, Suite 2, Fairmont, WV 26554-1286 | 2011-10-07 |
| 1962733154 | Heather Jean Ayers | Dentist | 189 Circle Dr, Fairmont, WV 26554-1455 | 2010-01-27 |
| 1235299314 | Franklin David Bonasso | Dentist | 100 Greenbrier Plaza, Fairmont, WV 26554 | 2006-12-11 |
| 1750469011 | Ronald John Croteau | Dentist | 1207 Morgantown Avenue, Fairmont, WV 26554-4503 | 2006-11-02 |
| 1114002375 | P Ronald Graziani Dds Ltd | Dentist | 315 First St, Fairmont, WV 26554-2802 | 2006-10-26 |
| 1184707580 | Douglas Clark Hannah | Dentist | 1520 Country Club Rd, Fairmont, WV 26554 | 2006-10-23 |
| 1598851958 | Michael F Trent & Michael J Meador Dds Inc | Dentist | 403 Virginia Ave, Fairmont, WV 26554 | 2006-10-05 |
| 1023109592 | Kenny H Koay | Dentist | 17 Oakwood Rd, Fairmont, WV 26554-2453 | 2006-09-27 |
| 1033127378 | Jon T Erickson | Dentist | 202 N Park St, Fairmont, MN 56031-2824 | 2006-08-03 |
| Find all providers in FAIRMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.