Provider Demographics
NPI:1578979126
Name:BOYES, JANET (DDS)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:BOYES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:BRENTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:108 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:DECORAH
Mailing Address - State:IA
Mailing Address - Zip Code:52101-1319
Mailing Address - Country:US
Mailing Address - Phone:563-382-3657
Mailing Address - Fax:
Practice Address - Street 1:108 5TH AVE
Practice Address - Street 2:
Practice Address - City:DECORAH
Practice Address - State:IA
Practice Address - Zip Code:52101-1319
Practice Address - Country:US
Practice Address - Phone:563-382-3657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-09115122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist