Individual provider · Type 1 NPI
George Boukas
Pediatric Dentistry · Brecksville, OH
NPI number
1285228197
Active
Practice location
4526 Glen Eagle Dr
Brecksville, OH 44141-2934
Mailing address
160 E Erie Ave
Philadelphia, PA 19134-1011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 30.027032 (OH) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1285228197
George Boukas's National Provider Identifier is 1285228197, issued on Feb 22, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Brecksville, OH. The record was last updated on Jun 29, 2023.