Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN BOUCHARD, DDS
ActiveBENJAMIN BOUCHARD, DDS is a Orthodontics healthcare provider located in GRAND RAPIDS, Michigan. NPI 1215627724 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1215627724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2023 (3.2819994644798 yrs)
- Last Updated
- Sep 22, 2025
- Licenses
-
2901602468 (MI)2901602468 (MI)
Practice Information
- Address
-
3989 CASCADE RD SEGRAND RAPIDS, MI, 495462178Browse MI providers · Browse ZIP 49546
- Phone
- 6164597171
- Fax
- 6164597181
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES V. KARHOHS | D.D.S., M.S., P.C. | 1023067402 |
| WYLAND WILSON GIBBS | D.D.S. | 1780690404 |
| DR. JOHN F MONTICELLO | DDS MS | 1497768832 |
| DR. DENNIS WILLIAM HODGE | DDS-ORTHODONTIST | 1831209931 |
| DR. PAUL W O'GRADY | DDS MS | 1962586792 |
| DR. THOMAS EDWARD HERREMANS | DDS MPH MS | 1205996121 |
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.