BOUCHER FAMILY DENTISTRY PLLC NPI 1083346753

NPI Information

NPI: 1083346753
Provider Name: BOUCHER FAMILY DENTISTRY, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
340 LOVELL ST
IONIA, MI
ZIP 48846
Phone: (616) 527-3050
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BOUCHER FAMILY DENTISTRY, PLLC is a dental clinic center in Ionia, MI. BOUCHER FAMILY DENTISTRY, PLLC NPI is 1083346753. The provider is registered as an organization entity type.

The provider's business location address is:

340 LOVELL ST
IONIA, MI
ZIP 48846-706
Phone: (616) 527-3050
Fax: (616) 527-3667

The provider's authorized official is Aaron Boucher .
The authorized official title is Owner and has the following contact phone number (616) 527-3050.

The enumeration date for this NPI number is 6/30/2022 and was last updated on 6/30/2022.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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