CULBERSON R BOREN DDS
NPI 1215208947
Dentist - Pediatric Dentistry in Jacksonville, TX

Q: What is Culberson R Boren Dds's NPI number?

The NPI number for Culberson R Boren Dds is 1215208947. It was assigned to this organization in the NPPES registry on January 26, 2012.

Q: What is Culberson R Boren Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since January 26, 2012

1634 S JACKSON ST, JACKSONVILLE, TX 75766(903) 581-2198(903) 581-9571 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Culberson R Boren Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CULBERSON R BOREN DDS (NPI 1215208947) is a healthcare organization registered as a pediatric dentistry in Jacksonville, Texas and active in the NPI registry since January 2012. The organization lists Culberson Reeves Boren, Owner/ Dentist, as its authorized official.

NPPES Registry Identity

NPI1215208947

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameCULBERSON R BOREN DDS

Location Address1634 S JACKSON STJacksonville, TX 75766-3028

Mailing Address1634 S Jackson StJacksonville, TX 75766-3028 · (903) 581-2198 · Fax (903) 581-9571

Phone(903) 581-2198

Fax(903) 581-9571

Organization SubpartNo

Authorized OfficialCulberson Reeves BorenOwner/ Dentist · (903) 581-2198

Enumeration DateJanuary 26, 2012

✔ NPI 1215208947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in TX · 13063

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1634 S JACKSON ST, Jacksonville, TX 75766

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Other Identifiers 1

Medicaid008045901TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Culberson R Boren Dds's NPI number?

The NPI number for Culberson R Boren Dds is 1215208947. It was assigned to this organization in the NPPES registry on January 26, 2012.

Where is Culberson R Boren Dds located?

Culberson R Boren Dds is located at 1634 S Jackson St, Jacksonville, TX 75766. The listed phone number is (903) 581-2198.

What is Culberson R Boren Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Culberson R Boren Dds was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.