DR. SHELLI BOUCHER D.M.D. NPI 1356773691

NPI Information

DR. Shelli Boucher, D.M.D. is a general practice dentist in Richmond, VA. 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. DR. Shelli Boucher, D.M.D. NPI is 1356773691. 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:

520 N 12TH ST
RICHMOND, VA
ZIP 23298-064
Phone: (804) 828-2522

The NPI 1356773691 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/8/2013 and was last updated on 8/8/2013.

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:

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