AUDRA ALEXANDRA BOEHM NPI 1811452303

NPI Information

  • NPI: 1811452303
  • Provider Name: AUDRA ALEXANDRA BOEHM
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 8745 PACIFIC AVE NW # 102
    SILVERDALE, WA
    ZIP 98383
  • Phone: (602) 045-1223

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NPI Details

Audra Alexandra Boehm is an oral and maxillofacial surgery dentist in Silverdale, WA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Audra Alexandra Boehm NPI is 1811452303. 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:

8745 PACIFIC AVE NW # 102
SILVERDALE, WA
ZIP 98383-394
Phone: (602) 045-1223

The enumeration date for this NPI number is 2/8/2019 and was last updated on 7/14/2025.

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
11223S0112XDentistOral and Maxillofacial SurgeryDE61663002WASHINGTONNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
31223S0112XDentistOral and Maxillofacial SurgeryMD61663011WASHINGTONYes

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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