IndividualActive
J. Boley, D.M.D
NPI 1962623819 · Orthodontics and Dentofacial Orthopedics Dentistry · Fayetteville, AR
Provider details
- NPI number
- 1962623819
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 3784 (AR)
Mailing address
4501 W Wedge Dr
Fayetteville, AR 72704-7532
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2010-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.