MA BOULE DMD PC (NPI# 1700043064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700043064 |
| Entity Type | Organization |
| Organization Name | MA BOULE DMD PC |
| Other Organization Name | BOULE DENTAL |
| Practice Address |
3910 Turner Ave Plano IL 60545-9727 |
| Practice Telephone | 6305523410 |
| Practice Fax Number | 6305521543 |
| Mailing Telephone | 6305523410 |
| Mailing Fax Number | 6305521543 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | DR. MELVIN ANTHONY BOULE (OWNER) |
| Authorized Official Telephone | 6305523410 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019026313 | IL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Boule Dental | Doing Business As Name - Organization |
| Street Address |
3910 TURNER AVE |
| City | PLANO |
| State | IL |
| Zip Code | 60545-9727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730211764 | Melvin Anthony Boule | Dentist | 3910 Turner Ave, Plano, IL 60545-9727 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598270035 | Thomas John Wade | Speech-Language Pathologist | 430 Mitchell Drive, Plano, IL 60545 | 2017-12-06 |
| 1902310857 | Jodi Sell | Speech-Language Pathologist | Pasec, 800 S Hale St, Plano, IL 60545 | 2017-11-29 |
| 1023161940 | William Yaw-ntaaku Asihene | Surgery | 12700 Us Highway 34, Plano, IL 60545 | 2007-01-22 |
| 1609941319 | Jose G Trevino Sr. | Registered Nurse | 1200 W South St, Plano, IL 60545 | 2006-11-21 |
| 1134205586 | John A Gordon Jr. | Dentist | 901 West Route 34, Suite 103, Plano, IL 60545 | 2006-10-28 |
| 1104853902 | Snehal K Kulkarni | Audiologist | 11000 E. Rt 34, Ste 3, Plano, IL 60545 | 2006-06-27 |
| 1376640730 | Riverglen Ear, Nose & Throat and Audiology, LLC | Otolaryngology | 11000 E. Rt 34, Ste 3, Plano, IL 60545 | 2006-09-20 |
| 1508920828 | Thomas W. Barney | Chiropractor | 200 S. Hale St., Ste. 2, Plano, IL 60545-0188 | 2006-12-21 |
| 1861524233 | Nancy Lynn Reiland | Occupational Therapist | 2009 Bittersweet Dr, Plano, IL 60545-1066 | 2007-03-12 |
| 1407031065 | Reiland Therapy Services, P.C. | Occupational Therapist | 2009 Bittersweet Dr, Plano, IL 60545-1066 | 2008-01-02 |
| Find all providers in zip 60545 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648710 | Trevor Shewski | Dentist | 5944 W Parker Rd Ste 500, Plano, TX 75093-6430 | 2020-08-09 |
| 1992313753 | Dental Zania Pllc | Dentist | 1818 K Ave, Plano, TX 75074-5908 | 2020-07-17 |
| 1164065165 | Emerson Doan LLC | Dentist | 3600 Communications Pkwy Ste 699, Plano, TX 75093-8158 | 2019-10-22 |
| 1730722067 | Fifth Dental Partner Pllc | Dentist | 2831 W 15th St Ste 200, Plano, TX 75075-7527 | 2019-10-18 |
| 1740831296 | Kenneth Mike Dossett | Dentist | 6009 W Parker Rd Ste 199, Plano, TX 75093-8131 | 2019-09-26 |
| 1851952790 | Bradley Colin Smith | Dentist | 1900 14th St Ste C, Plano, TX 75074-6426 | 2019-06-21 |
| 1033679337 | 3rdmolar Pllc | Dentist | 5072 West Plano Pkwy #100, Plano, TX 75093-3044 | 2019-03-22 |
| 1811456551 | Chuangdental | Dentist | 3950 W Plano Pkwy Ste B, Plano, TX 75075-7805 | 2019-03-12 |
| 1760965511 | Mint Dentistry | Dentist | 280 Legacy Dr Ste 105, Plano, TX 75023-2314 | 2018-09-07 |
| 1093200636 | Brenna C Parsell, Dds, Pa | Dentist | 1101 W Plano Pkwy Ste 102, Plano, TX 75075-8624 | 2018-06-26 |
| Find all providers in PLANO | ||||
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| 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.