Mark Isidore Boule, D.D.S.

General Practice Dentistry · Manlius, NY

Individual Active NPI

NPI number 1073608212

Practice location

8076 Cazenovia Rd
Manlius, NY 13104-9218
Phone
(315) 682-5200
Fax
(315) 682-2602

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NPI record

NPI
1073608212
Entity type
Individual (Type 1)
Enumeration date
October 4, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 047029 NY

About Dr. Boule

Mark Isidore Boule, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8076 Cazenovia Rd, Manlius, NY 13104-9218. The NPI number 1073608212 was assigned on October 4, 2006 and the record was last updated on July 8, 2007.

Dr. Boule lists a license in the registry: #047029 (NY) 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 Mark Isidore Boule, D.D.S.?

The NPI number is 1073608212.

What is the phone number of Dr. Boule?

The phone number listed for the practice location is (315) 682-5200.

Where is Dr. Boule located?

8076 Cazenovia Rd, Manlius, NY 13104-9218.

What is the taxonomy code for Dr. Boule?

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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