National Provider Identifier
Willard Charles Boehm, D.D.S.
Willard Charles Boehm, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 381-1695.
Profile Overview
- NPI
- 1356346126
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- June 16, 2005
- Last Updated
- July 08, 2007
Practice Location
- 2480 Browncroft Blvd
- Rochester, NY 14625-1410
Phone: (585) 381-1695
Mailing Address
- 40 Landsdowne Ln
- Rochester, NY 14618-3848
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1356346126
- Entity Type
- Individual
- Last Name
- Boehm
- First Name
- Willard
- Middle Name
- Charles
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 40 Landsdowne Ln
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-3848
- Mailing Country
- US
- Mailing Phone
- (585) 586-3331
- Practice Street Address
- 2480 Browncroft Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14625-1410
- Practice Country
- US
- Practice Phone
- (585) 381-1695
- Enumeration Date
- June 16, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)