Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEORGE BOUKAS
Active Sole ProprietorGEORGE BOUKAS is a Pediatric Dentistry healthcare provider located in BRECKSVILLE, Ohio. NPI 1285228197 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · BRECKSVILLE, OH
Registration Details
- NPI Number
- 1285228197
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2021 (5.287448112072 yrs)
- Last Updated
- Jun 29, 2023
- License
-
30.027032 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4526 GLEN EAGLE DRBRECKSVILLE, OH, 441412934Browse OH providers · Browse ZIP 44141
- Phone
- 3363378492
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
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.