GEORGE BOUKAS NPI 1285228197

NPI Information

  • NPI: 1285228197
  • Provider Name: GEORGE BOUKAS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 4526 GLEN EAGLE DR
    BRECKSVILLE, OH
    ZIP 44141
  • Phone: (336) 337-8492

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NPI Details

George Boukas is a pediatric dentistry dentist in Brecksville, OH. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. George Boukas NPI is 1285228197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4526 GLEN EAGLE DR
BRECKSVILLE, OH
ZIP 44141-934
Phone: (336) 337-8492

The enumeration date for this NPI number is 2/22/2021 and was last updated on 6/29/2023.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
21223P0221XDentistPediatric Dentistry30.027032OHIOYes

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: 11/21/2025

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