Individual provider · Type 1 NPI

Samy Wasfy Boulos, DDS

General Practice Dentistry · Shoreview, MN

NPI number 1275775348 Active

Practice location

470 Highway 96 W Ste 200
Shoreview, MN 55126-3214

Call (651) 366-6880 Map

Fax (651) 366-6881

Other practice locations

  • 14000 Northdale Blvd Ste J, Rogers, MN 55374-4663 · (763) 428-2300

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD12329 (MN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1275775348

Samy Wasfy Boulos, DDS's National Provider Identifier is 1275775348, issued on Apr 3, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shoreview, MN. The record was last updated on Feb 14, 2019.