Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMY WASFY BOULOS, DDS
ActiveDR. SAMY WASFY BOULOS, DDS is a General Dentistry healthcare provider located in SHOREVIEW, Minnesota. NPI 1275775348 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SHOREVIEW, MN
Registration Details
- NPI Number
- 1275775348
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2009 (17.38089153926 yrs)
- Last Updated
- Feb 14, 2019
- License
-
D12329 (MN)
Practice Information
- Address
-
470 HIGHWAY 96 W STE 200SHOREVIEW, MN, 551263214Browse MN providers · Browse ZIP 55126
- Phone
- 6513666880
- Fax
- 6513666881
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SHOREVIEW, MN
| Name | Credential | NPI |
|---|---|---|
| DR. GARY RALPH SMISEK | D.D.S. | 1457322489 |
| DR. MIKE J ENZ | DDS | 1821178583 |
| SARAH J. MELSTROM | D.D.S. | 1952463457 |
| DAVID H JOHNSON | D.D.S. | 1174685671 |
| JEFFREY B. NORSTED | D.D.S. | 1376605865 |
| PETER V. SWENSON | D.D.S. | 1518029016 |
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.