Search › South Carolina › 122300000X
John Boutwell, DDS
NPI 1770108102 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3369 Pelham Rd
Greenville, SC 29615 - Phone
- (864) 297-6365
- Clinicians at this address
- 5
Additional practice sites
- 600 N Highway 190 Ste 4, Covington, LA
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- LA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina