Jerri A. Boughan, DMD
General Dentistry · Lawrenceville, IL
UnclaimedDMDNPI 1982719431
- Primary taxonomy
- 122300000X
- Enumerated
- 2006-08-21
- Practice location
- Lawrenceville, IL
- Last NPPES update
- 2015-06-02
State licenses
- IL · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.