DR. D.D.S., M.S. Stanley A Boucree SR., NPI 1063532059
Oral and Maxillofacial Surgery (Dentist) in Silver Spring, MD, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1063532059
NPI Entity Type Individual
Provider Name DR. D.D.S., M.S. Stanley A Boucree SR.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 8555 16th St, Suite 404, Silver Spring, MD, US
Provider Mailing Address 8555 16th St, Suite 404, Silver Spring, MD, US, 209102816
Gender Male
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

1223S0112X

Taxonomy Name Oral and Maxillofacial Surgery (Dentist)
Classification

Dentist

Group

Dental Providers

License No. 4139
License State MD
Description The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Business Address

DR. D.D.S., M.S. Stanley A Boucree SR.
8555 16th St
Suite 404

Silver Spring, MD, US

Phone: 301-585-5900
Fax: 301-585-5901

Mailing Address

DR. D.D.S., M.S. Stanley A Boucree SR.
8555 16th St
Suite 404
Silver Spring, MD, US
ZIP 209102816
Phone: 301-585-5900
Fax: 301-585-5901

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

1223S0112X

Dental Providers

Dentist

DEN2333 DC No

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