DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRIAN LEE BOUCK, DDS

Active

DR. BRIAN LEE BOUCK, DDS is a General Dentistry healthcare provider located in WATERLOO, Iowa. NPI 1073757910 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · WATERLOO, IA

Registration Details

NPI Number
1073757910
Provider Type
Individual
Gender
Male
NPI Issued
Apr 22, 2009 (17.281834834811 yrs)
Last Updated
Apr 22, 2009
License
6490 (IA)

Practice Information

Address
315 E SAN MARNAN DR
WATERLOO, IA, 507025837
Browse IA providers · Browse ZIP 50702
Phone
3192356287
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in WATERLOO, IA

Name Credential NPI
DR. WILLIAM C BOLICK D.D.S. 1285609693
DR. BEAU MARCUS BEECHER D.D.S. 1912918269
DR. ERIC LEE KIMBALL D.D.S. 1639180920
DR. C JAMES MIKELSON DDS 1831101427
DR. JOHN KENT SPRAGG DDS 1356455448
DR. TERYL DALE EDWARDS DDS 1215043344
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.