Individual provider · Type 1 NPI

John William Boutz, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Albuquerque, NM

NPI number 1740265255 Active

Practice location

7111 Prospect Pl NE, Suite C
Albuquerque, NM 87110-4309

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	DD964 (NM)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1740265255

John William Boutz, DDS, M.S.'s National Provider Identifier is 1740265255, issued on Dec 7, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 13, 2026.