Active NPIIndividual provider

Dr. Nicholas J Boutselis, DMD

Dentist, General Practice in Tewksbury, Massachusetts

NPI Number1093961245
Practice location
381R Main Street, Tewksbury, MA 01876
Fax
978-640-1117
Last updated
August 7, 2008

Nicholas James Boutselis is a Dentist, General Practice based in Tewksbury, MA. Nicholas James Boutselis practices in Tewksbury, MA and has the professional credentials of DMD. The NPI Number for Nicholas James Boutselis is 1093961245 and holds a License No. 18573 (MA). The current practice location address for Nicholas James Boutselis is 381R Main Street, Tewksbury, MA 01876 and can be reached out via phone at 978-640-1114 and via fax at 978-640-1117.

Provider Profile Details

NPI Number
1093961245
Provider Name
Nicholas James Boutselis
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
381R Main Street, Tewksbury, MA 01876
Phone Number
978-640-1114
Fax Number
978-640-1117
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 7, 2008
Last Update Date
August 7, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
381R Main Street
Tewksbury, MA 01876
Zip
01876
Phone Number
978-640-1114
Fax Number
978-640-1117
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
381R Main Street
Tewksbury, MA 01876
City
Tewksbury
State
MA
Zip
01876
Phone Number
978-640-1114
Fax Number
978-640-1117

License Information

License Number
18573
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nicholas J Boutselis, DMD?

The NPI number of Dr. Nicholas J Boutselis, DMD is 1093961245. It was assigned on August 7, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicholas J Boutselis, DMD?

Dr. Nicholas J Boutselis, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 18573.

Where does Dr. Nicholas J Boutselis, DMD practice?

The practice location is 381R Main Street, Tewksbury, MA 01876. The office can be reached at 978-640-1114 (phone) or 978-640-1117 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093961245 directly on the NPPES registry website.

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