DR. JENNIFER NEWTON BOLES DDS
NPI 1386754620
Dentist - General Practice in Mangham, LA

Active since August 30, 2006
4279 HIGHWAY 15, MANGHAM, LA 71259(318) 248-4986(318) 248-3379 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jennifer Newton Boles Dds NPPES

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

DR. JENNIFER NEWTON BOLES DDS (NPI 1386754620) is an individual general practice provider in Mangham, Louisiana, licensed in Louisiana (5050) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1386754620
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JENNIFER NEWTON BOLESCredential: DDS
Location Address4279 HIGHWAY 15Mangham, LA 71259-5189
Mailing Address4279 Hwy 15Mangham, LA 71259 · (318) 248-4986 · Fax (318) 248-3379
Fax(318) 248-3379
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 13, 2023
NPPES CertifiedFebruary 28, 2023
NPI 1386754620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in LA · 5050
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.
4279 HIGHWAY 15, Mangham, LA 71259

Other Identifiers 2

Medicaid1850501LA
Other5050LA · State License #

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
4279 HIGHWAY 15
MANGHAM, LA 71259
Dentist (General Practice)
4279 HIGHWAY 15
MANGHAM, LA 71259
Dentist
4279 HIGHWAY 15
MANGHAM, LA 71259

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 Jennifer Boles's NPI number?

The NPI number for Jennifer Boles is 1386754620. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Jennifer Boles located?

Jennifer Boles practices at 4279 Highway 15, Mangham, LA 71259. The listed phone number is (318) 248-4986.

What is Jennifer Boles'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 Jennifer Boles was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.