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BOULEVARD DENTAL CARE L.L.C. NPI 1831247048


NPI Information

NPI: 1831247048
Provider Name: BOULEVARD DENTAL CARE L.L.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2645 MUEGGE RD
SAINT CHARLES, MO
ZIP 63303
Phone: (636) 939-6868
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BOULEVARD DENTAL CARE L.L.C. is a general practice dentist in Saint Charles, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BOULEVARD DENTAL CARE L.L.C. NPI is 1831247048. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2645 MUEGGE RD
SAINT CHARLES, MO
ZIP 63303-145
Phone: (636) 939-6868
Fax: (636) 447-3611

The provider's authorized official is Randall Craig Reyes .
The authorized official title is Manager and has the following contact phone number (636) 939-6868.

The enumeration date for this NPI number is 1/7/2007 and was last updated on 7/30/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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