DR. ALI BOLOURI (NPI# 1356483879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356483879 |
| Entity Type | Individual |
| Full Name | DR. ALI BOLOURI |
| Credential | DDS |
| Practice Address |
8325 Walnut Hill Ln Dallas TX 75231-4208 |
| Practice Telephone | 2143631406 |
| Mailing Telephone | 2143631406 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
11577 | TX | Dental Providers |
| Street Address |
8325 WALNUT HILL LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902529 | Karen Ruth Halsell | Specialist | 8325 Walnut Hill Ln, Ste 225, Dallas, TX 75231-4263 | 2005-06-20 |
| 1114148715 | Amy Horton | Dentist | 8325 Walnut Hill Ln, Suite 215, Dallas, TX 75231-4208 | 2007-05-01 |
| 1992824684 | Jack L Freudenfeld Jr. | Dentist | 8325 Walnut Hill Ln, Suite 215, Dallas, TX 75231-4208 | 2007-03-27 |
| 1619036845 | Pediatricians of Dallas, Pa | Clinic/Center | 8325 Walnut Hill Ln, Suite 225, Dallas, TX 75231-4208 | 2006-12-06 |
| 1477636744 | Gayle Glenn Dds Msd Pa | Dentist | 8325 Walnut Hill Ln, Suite 111, Dallas, TX 75231-4208 | 2006-10-23 |
| 1154385755 | Mark Hirsh Kogut | Dentist | 8325 Walnut Hill Ln, Ste 111, Dallas, TX 75231 | 2006-04-12 |
| 1790745586 | Michael Joseph Biavati | Otolaryngology | 8325 Walnut Hill Ln, Ste 100, Dallas, TX 75231 | 2006-03-24 |
| 1679574917 | Matthew M Yaeger | Specialist | 8325 Walnut Hill Ln, Suite 225, Dallas, TX 75231-4208 | 2005-08-09 |
| 1144220625 | James W Watkins | Specialist | 8325 Walnut Hill Ln, Suite 225, Dallas, TX 75231-4208 | 2005-07-27 |
| 1427058908 | Joe B Neely | Specialist | 8325 Walnut Hill Ln, Suite 225, Dallas, TX 75231-4208 | 2005-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1841795598 | Andreina Cordido Enriquez | Dentist | 3302 Gaston Ave Rm 169, Dallas, TX 75246-2013 | 2018-03-26 |
| 1972021145 | Catherine G Cagino | Dentist | 5018 Les Chateaux Dr, Dallas, TX 75235-8731 | 2017-09-07 |
| 1104371038 | Brian Christopher Aguirre | Dentist | 5013 Vickery Blvd, Dallas, TX 75206-6222 | 2016-08-21 |
| 1659796696 | Kathia Steel Dds Ms PC | Dentist | 8117 Preston Rd Ste 170, Dallas, TX 75225-6320 | 2014-02-27 |
| 1265717391 | Mamoru Tanaka | Dentist | 6541 Shady Brook Ln Apt 2210, Dallas, TX 75206-9123 | 2011-10-20 |
| 1356576599 | Elite Dental Associates - Dallas, P.C. | Dentist | 2410 Mckinney Ave, Dallas, TX 75201-1937 | 2009-05-18 |
| 1447497102 | Michelle Newby | Dentist | 11661 Preston Rd Ste 104, Dallas, TX 75230-6196 | 2009-01-15 |
| 1083870281 | Dimitrios Elias Kontogiorgos | Dentist | 8650 Southwestern Blvd, Apt#3407, Dallas, TX 75206-2611 | 2008-08-06 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on DR. ALI BOLOURI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.