Rafik Boulos

General Practice Dentistry · Towson, MD

Individual Active NPI

NPI number 1053961276

Practice location

8501 Lasalle Rd
306
Towson, MD 21286
Phone
(410) 296-7599

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NPI record

NPI
1053961276
Entity type
Individual (Type 1)
Enumeration date
September 19, 2019
Last updated
April 19, 2026
Certified
April 19, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 17085 MD

Mailing address

3730 Ligon Rd
Ellicott City, MD 21042-5241
Phone
(410) 900-3882

Other practice locations (1)

  • 8140 Corporate Dr Ste 200, Nottingham, MD 21236-6902 · (410) 900-3882

About Rafik Boulos

Rafik Boulos is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8501 Lasalle Rd, 306, Towson, MD 21286. The NPI number 1053961276 was assigned on September 19, 2019 and the record was last updated on April 19, 2026.

Rafik Boulos lists a license in the registry: #17085 (MD) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Rafik Boulos?

The NPI number is 1053961276.

What is the phone number of Rafik Boulos?

The phone number listed for the practice location is (410) 296-7599.

Where is Rafik Boulos located?

8501 Lasalle Rd, 306, Towson, MD 21286.

What is the taxonomy code for Rafik Boulos?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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