DR. MICHAEL ROBERT BOLDT DMD
NPI 1336167329
Dentist - General Practice in Medford, OR

Q: What is Michael Boldt's NPI number?

The NPI number for Michael Boldt is 1336167329. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Michael Boldt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Michael Boldt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 17, 2006

922 E MAIN ST, MEDFORD, OR 97504(541) 772-2756(541) 772-3072 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Michael Robert Boldt Dmd NPPES

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

DR. MICHAEL ROBERT BOLDT DMD (NPI 1336167329) is an individual general practice provider in Medford, Oregon, licensed in Oregon (D6349) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1336167329

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MICHAEL ROBERT BOLDTCredential: DMD

Location Address922 E MAIN STMedford, OR 97504-7136

Mailing Address922 E Main StMedford, OR 97504-7136 · (541) 772-2756 · Fax (541) 772-3072

Phone(541) 772-2756

Fax(541) 772-3072

Sole ProprietorYes

Enumeration DateJuly 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336167329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D6349

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

922 E MAIN ST, Medford, OR 97504

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROGUE COMMUNITY HEALTH

Clinic/Center (Federally Qualified Health Center (FQHC))

922 E MAIN ST
MEDFORD, OR 97504

Jackson County (541) 773-3863

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 Michael Boldt's NPI number?

The NPI number for Michael Boldt is 1336167329. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Michael Boldt located?

Michael Boldt practices at 922 E Main St, Medford, OR 97504. The listed phone number is (541) 772-2756.

What is Michael Boldt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Michael Boldt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.