ANTHONY WALTER BOE DDS NPI 1639242993

NPI Information

NPI: 1639242993
Provider Name: ANTHONY WALTER BOE, DDS
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
Address: 1880 W WAYZATA BLVD
LONG LAKE, MN
ZIP 55356
Phone: (952) 475-0989

Map and Directions

Get Directions

NPI Details

Anthony Walter Boe, DDS is a general practice dentist in Long Lake, MN. 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. Anthony Walter Boe, DDS NPI is 1639242993. 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:

1880 W WAYZATA BLVD
LONG LAKE, MN
ZIP 55356-491
Phone: (952) 475-0989
Fax: (952) 475-2053

The enumeration date for this NPI number is 11/16/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	D8481	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D8481	OTHER	MINNESOTA	MN BOARD OF DENTISTRY #
2	91D71B0	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD ID

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI