Mina C Boudreau, DMD
Dentist, General Practice in Watertown, Massachusetts
1619338084- Practice location
- 144 Main St, Watertown, MA 02472-4409
- Phone
- 617-396-4621
- Fax
- —
- Last updated
- February 23, 2023
Mina Choe Boudreau is a Dentist, General Practice based in Watertown, MA. Mina Choe Boudreau practices in Watertown, MA and has the professional credentials of DMD. The NPI Number for Mina Choe Boudreau is 1619338084 and holds a License No. DN1857119 (MA). The current practice location address for Mina Choe Boudreau is 144 Main St, Watertown, MA 02472-4409 and can be reached out via phone at 617-396-4621.
Provider Profile Details
- NPI Number
- 1619338084
- Provider Name
- Mina Choe Boudreau
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 144 Main St, Watertown, MA 02472-4409
- Phone Number
- 617-396-4621
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 14, 2016
- Last Update Date
- February 23, 2023
- Certification Date
- February 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 144 Main St
Watertown, MA 02472-4409 - City
- Watertown
- State
- Massachusetts
- Zip
- 02472-4409
- Phone Number
- 617-396-4621
Provider Business Mailing Address Details
- Address
- 144 Main St
Watertown, MA 02472-4409 - City
- Watertown
- State
- MA
- Zip
- 02472-4409
License Information
- License Number
- DN1857119
- License State
- MA
- 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 Mina C Boudreau, DMD?
The NPI number of Mina C Boudreau, DMD is 1619338084. It was assigned on March 14, 2016 and is currently active in the NPPES registry.
What is the specialty of Mina C Boudreau, DMD?
Mina C Boudreau, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1857119.
Where does Mina C Boudreau, DMD practice?
The practice location is 144 Main St, Watertown, MA 02472-4409. The office can be reached at 617-396-4621 (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 1619338084 directly on the NPPES registry website.