DR. JACK LEE BOONE DDS
NPI 1619907474
Dentist - General Practice in Hertford, NC

Q: What is Jack Boone's NPI number?

The NPI number for Jack Boone is 1619907474. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Jack Boone'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 Jack Boone was last updated on July 9, 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 04, 2006

212 AINSLEY AVE, HERTFORD, NC 27944(252) 426-5585(252) 426-5766 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jack Lee Boone Dds NPPES

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

DR. JACK LEE BOONE DDS (NPI 1619907474) is an individual general practice provider in Hertford, North Carolina, licensed in North Carolina (3868) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1619907474

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACK LEE BOONECredential: DDS

Location Address212 AINSLEY AVEHertford, NC 27944-1400

Mailing Address212 Ainsley AveHertford, NC 27944-1400 · (252) 426-5585 · Fax (252) 426-5766

Phone(252) 426-5585

Fax(252) 426-5766

Sole ProprietorNo

Enumeration DateJuly 4, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1619907474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 3868

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.

212 AINSLEY AVE, Hertford, NC 27944

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Other Identifiers 3

Other20-2096412NC · Federal Ein

Other90862NC · Bcbs Provider Id

Medicaid8990862NC

Other Providers at the Same Location NPPES 2

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

JACK L. BOONE, DDS, PA

Dentist (General Practice)

212 AINSLEY AVE
HERTFORD, NC 27944

Perquimans County (252) 426-5585

KALEB C THOMPSON DMD PA V

Dentist (General Practice)

212 AINSLEY AVE
HERTFORD, NC 27944

Perquimans County (252) 335-4341

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 Jack Boone's NPI number?

The NPI number for Jack Boone is 1619907474. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Jack Boone located?

Jack Boone practices at 212 Ainsley Ave, Hertford, NC 27944. The listed phone number is (252) 426-5585.

What is Jack Boone'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 Jack Boone was last updated on July 9, 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.