Active NPIIndividual providerSole proprietor

Mina Boulos, DMD

Dentist, General Practice in Ocean, New Jersey

NPI Number1629836010
Practice location
922 Route 35, Ocean, NJ 07712-4549
Fax
—
Last updated
December 29, 2025

Mina Boulos is a Dentist, General Practice based in Ocean, NJ. Mina Boulos practices in Ocean, NJ and has the professional credentials of DMD. The NPI Number for Mina Boulos is 1629836010 and holds a License No. 22DI03089400 (NJ). The current practice location address for Mina Boulos is 922 Route 35, Ocean, NJ 07712-4549 and can be reached out via phone at 848-217-2029.

Provider Profile Details

NPI Number
1629836010
Provider Name
Mina Boulos
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
922 Route 35, Ocean, NJ 07712-4549
Phone Number
848-217-2029
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 11, 2024
Last Update Date
December 29, 2025
Certification Date
December 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
922 Route 35
Ocean, NJ 07712-4549
City
Ocean
Zip
07712-4549
Phone Number
848-217-2029
Ocean, NJ 07712Get directions →

Provider Business Mailing Address Details

Address
12 Crawford Pl
Old Bridge, NJ 08857-3403
City
Old Bridge
State
NJ
Zip
08857-3403
Phone Number
732-501-9834

License Information

License Number
22DI03089400
License State
NJ
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 Mina Boulos, DMD?

The NPI number of Mina Boulos, DMD is 1629836010. It was assigned on March 11, 2024 and is currently active in the NPPES registry.

What is the specialty of Mina Boulos, DMD?

Mina Boulos, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI03089400.

Where does Mina Boulos, DMD practice?

The practice location is 922 Route 35, Ocean, NJ 07712-4549. The office can be reached at 848-217-2029 (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 1629836010 directly on the NPPES registry website.

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