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MA BOULE DMD PC NPI 1700043064


NPI Information

NPI: 1700043064
Provider Name: MA BOULE DMD PC

Doing Business As: BOULE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3910 TURNER AVE
PLANO, IL
ZIP 60545
Phone: (630) 552-3410
Get Directions

MA BOULE DMD PC is a general practice dentist in Plano, IL. The provider is 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. MA BOULE DMD PC NPI is 1700043064. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Boule Dental.

The provider's business location address is:

3910 TURNER AVE
PLANO, IL
ZIP 60545-727
Phone: (630) 552-3410
Fax: (630) 552-1543

The provider's authorized official is Melvin Anthony Boule .
The authorized official title is Owner and has the following contact phone number (630) 552-3410.

The enumeration date for this NPI number is 5/22/2008 and was last updated on 5/22/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice019026313ILLINOISYes

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: 5/5/2024

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