Bassel Boulos
Dentist, General Practice in Roxbury, Massachusetts
1467902155- Practice location
- 1290 Tremont St, Roxbury, MA 02120-3432
- Phone
- 617-427-1000
- Fax
- —
- Last updated
- September 20, 2019
Bassel Boulos is a Dentist, General Practice based in Roxbury, MA. Bassel Boulos practices in Roxbury, MA. The NPI Number for Bassel Boulos is 1467902155 and holds a License No. 04520 (NH). The current practice location address for Bassel Boulos is 1290 Tremont St, Roxbury, MA 02120-3432 and can be reached out via phone at 617-427-1000.
Provider Profile Details
- NPI Number
- 1467902155
- Provider Name
- Bassel Boulos
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1290 Tremont St, Roxbury, MA 02120-3432
- Phone Number
- 617-427-1000
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 6, 2016
- Last Update Date
- September 20, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1290 Tremont St
Roxbury, MA 02120-3432 - City
- Roxbury
- State
- Massachusetts
- Zip
- 02120-3432
- Phone Number
- 617-427-1000
Provider Business Mailing Address Details
- Address
- 100 Bridge St
Pelham, NH 03076-3422 - City
- Pelham
- State
- NH
- Zip
- 03076-3422
- Phone Number
- 603-931-4698
License Information
- License Number
- 04520
- License State
- NH
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Bassel Boulos?
The NPI number of Bassel Boulos is 1467902155. It was assigned on October 6, 2016 and is currently active in the NPPES registry.
What is the specialty of Bassel Boulos?
Bassel Boulos is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NH under license number 04520.
Where does Bassel Boulos practice?
The practice location is 1290 Tremont St, Roxbury, MA 02120-3432. The office can be reached at 617-427-1000 (phone).
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 1467902155 directly on the NPPES registry website.