Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack Holland Boatman, DDS

Individual provider General Practice Dentistry · NPI 1841391018

Dr. Jack Holland Boatman, DDS is a General Practice Dentistry in San Clemente, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

122 Avenida Cabrillo
San Clemente, CA 92672-4039
Phone: (949) 498-4110
Fax: (949) 498-8657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 26810 (CA)

Record details

NPI number1841391018
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJuly 8, 2007

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