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DR. JUDY ANDREA BOUTROS D.D.S. NPI 1417152125


NPI Information

NPI: 1417152125
Provider Name: DR. JUDY ANDREA BOUTROS, D.D.S.
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
7303 COPPERWOOD LN
SYLVANIA, OH
ZIP 43560
Phone: (419) 206-9289
Get Directions

DR. Judy Andrea Boutros, D.D.S. is an endodontics dentist in Sylvania, OH. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Judy Andrea Boutros, D.D.S. NPI is 1417152125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7303 COPPERWOOD LN
SYLVANIA, OH
ZIP 43560-333
Phone: (419) 206-9289

The enumeration date for this NPI number is 6/21/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics30021105OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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