Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARLY RACHELLE BOUDREAUX, DMD
ActiveDR. CARLY RACHELLE BOUDREAUX, DMD is a Pediatric Dentistry healthcare provider located in WASHINGTON, Missouri. NPI 1326604497 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · WASHINGTON, MO
Registration Details
- NPI Number
- 1326604497
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2019 (7.2372161024648 yrs)
- Last Updated
- Aug 5, 2021
- License
-
2021024201 (MO)
Practice Information
- Address
-
1709 HERITAGE HILLS DRWASHINGTON, MO, 630904621Browse MO providers · Browse ZIP 63090
- Phone
- 6362383520
- 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.