Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BONNIE BOUDREAUX, DMD, MS
ActiveDR. BONNIE BOUDREAUX, DMD, MS is a Endodontics healthcare provider located in SWEETWATER, Tennessee. NPI 1538419023 is currently active in the NPPES registry. Verify at CMS.
Endodontics · SWEETWATER, TN
Registration Details
- NPI Number
- 1538419023
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2012 (13.892030766022 yrs)
- Last Updated
- Jun 18, 2024
- License
-
11895 (TN)
Practice Information
- Address
-
PO BOX 480SWEETWATER, TN, 378740480Browse TN providers · Browse ZIP 37874
- Phone
- 4232716075
- Fax
- 4232716065
- Primary Specialty
-
Endodontics
1223E0200X
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.