1. Home
  2. Directory
  3. California
  4. San Clemente
  5. Dentist
  6. NPI Profile

DR. JACK HOLLAND BOATMAN DDS
NPI 1841391018
Dentist - General Practice in San Clemente, CA

Active since September 26, 2006
122 AVENIDA CABRILLO, SAN CLEMENTE, CA 92672(949) 498-4110(949) 498-8657 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Holland Boatman Dds NPPES

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

DR. JACK HOLLAND BOATMAN DDS (NPI 1841391018) is an individual general practice provider in San Clemente, California, licensed in California (26810) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1841391018
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACK HOLLAND BOATMANCredential: DDS
Location Address122 AVENIDA CABRILLOSan Clemente, CA 92672-4039
Mailing Address122 Avenida CabrilloSan Clemente, CA 92672-4039 · (949) 498-4110 · Fax (949) 498-8657
Phone(949) 498-4110
Fax(949) 498-8657
Sole ProprietorYes
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1841391018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 26810
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.
122 AVENIDA CABRILLO, San Clemente, CA 92672
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

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

KRISTEN RITZAU DDS, INC.
Clinic/Center (Dental)
122 AVENIDA CABRILLO
SAN CLEMENTE, CA 92672
Orange County (949) 498-4110
KRISTEN LEILANI RITZAU DDS
Dentist (General Practice)
122 AVENIDA CABRILLO
SAN CLEMENTE, CA 92672
Orange County (949) 498-4110
KRISTEN RITZAU, D.D.S., INC.
Dentist (General Practice)
122 AVENIDA CABRILLO
SAN CLEMENTE, CA 92672
Orange County (949) 498-4110
DR. COLBY MARGAUX LIVINGSTON D.D.S.
Dentist
122 AVENIDA CABRILLO
SAN CLEMENTE, CA 92672
Orange County (949) 498-4110
KRISTEN RITZAU D.D.S., INC.
Dentist (General Practice)
122 AVENIDA CABRILLO
SAN CLEMENTE, CA 92672
Orange County (949) 498-4110

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 Boatman's NPI number?

The NPI number for Jack Boatman is 1841391018. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Jack Boatman located?

Jack Boatman practices at 122 Avenida Cabrillo, San Clemente, CA 92672. The listed phone number is (949) 498-4110.

What is Jack Boatman'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 Boatman 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.