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George Boukas
Pediatric Dentist in Brecksville, Ohio
NPI 1285228197

George Boukas is a Pediatric Dentist based in Philadelphia, OH and is specialized in Pediatric Dentistry. George Boukas practices in Brecksville, OH. The NPI Number for George Boukas is 1285228197 and holds a License No. (Ohio).

The current practice location address for George Boukas is 4526 Glen Eagle Dr, Brecksville, OH and can be reached out via phone at 336-337-8492. You can also correspond with George Boukas through the mailing address at 160 E ERIE AVE, PHILADELPHIA, PA - 19134-1011 (mailing address contact number: 215-427-5213).

Location: 4526 Glen Eagle Dr, Brecksville, OH, 19134-1011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285228197
Provider Name
George Boukas
Credential
Provider Entity Type
Individual
Gender
Male
Address
4526 Glen Eagle Dr, Brecksville, OH, 19134-1011
Phone Number
336-337-8492
Fax Number
Provider Enumeration Date
02/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4526 Glen Eagle Dr
City
Brecksville
State
Ohio
Zip
44141-2934
Phone Number
336-337-8492
Fax Number
person
Provider Business Mailing Address Details
Address
4526 Glen Eagle Dr
City
Brecksville
State
Ohio
Zip
44141-2934
Phone Number
336-337-8492
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
30.027032 (Ohio)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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