BOUYEAN DENTISTRY PLLC NPI 1558085563

NPI Information

  • NPI: 1558085563
  • Provider Name: BOUYEAN DENTISTRY PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1108 W DICKINSON BLVD STE B
    FORT STOCKTON, TX
    ZIP 79735
  • Phone: (432) 336-8700

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NPI Details

BOUYEAN DENTISTRY PLLC is a general practice dentist in Fort Stockton, TX. 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. BOUYEAN DENTISTRY PLLC NPI is 1558085563. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1108 W DICKINSON BLVD STE B
FORT STOCKTON, TX
ZIP 79735-201
Phone: (432) 336-8700

The provider's authorized official is Nickolas Kim .
The authorized official title is Dentist and has the following contact phone number (702) 505-1257.

The enumeration date for this NPI number is 10/3/2022 and was last updated on 10/3/2022.

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 PracticeYes

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: 3/30/2025

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