Individual provider · Type 1 NPI

Stanley A. Boucree Sr., DDS, M.S.

Oral and Maxillofacial Surgery (Dentist) · Silver Spring, MD

NPI number 1063532059 Active

Practice location

8555 16th St, Suite 404
Silver Spring, MD 20910-2816

Call (301) 585-5900 Map

Fax (301) 585-5901

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDEN2333 (DC)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X4139 (MD)
Dentist 122300000XDEN2333 (DC)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1063532059

Stanley A. Boucree Sr., DDS, M.S.'s National Provider Identifier is 1063532059, issued on Mar 31, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Silver Spring, MD. The record was last updated on Apr 25, 2024.