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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CARLOS BOU ASSI, DMD

Active

DR. CARLOS BOU ASSI, DMD is a General Dentistry healthcare provider located in FORT DRUM, New York. NPI 1699874453 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FORT DRUM, NY

Registration Details

NPI Number
1699874453
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2006 (19.898286286786 yrs)
Last Updated
Apr 9, 2015
Licenses
03622 (NH)
21826 (MA)
22DI02299200 (NJ)

Practice Information

Address
10590 ENDURING FREEDOM DRIVE
FORT DRUM, NY, 136025005
Browse NY providers · Browse ZIP 13602
Phone
3157726234
Fax
3157743558
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Dentist
Additional Specialty
General Dentistry

Other General Dentistry Providers in FORT DRUM, NY

Name Credential NPI
DR. RALF BEILHARDT DDS 1104829761
DR. DONALD FOSTER DDS 1720078983
DR. AUBREY RUSSELL HOPKINS DMD 1356778500
DR. JESSICA LYNN BONDY-CAREY D.M.D. 1457750671
ROBERT KEMP VAN WAGENEN DDS 1942752837
DR. BRYAN TAPPEN DMD 1134653488
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.