Logan Ali Bouker, DMD

Dentist · Livingston, TX

Individual Active NPI

NPI number 1154166536

Practice location

117 Southpoint Loop Ste 400
Livingston, TX 77351-8899
Phone
(128) 181-2195

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NPI record

NPI
1154166536
Entity type
Individual (Type 1)
Enumeration date
June 27, 2024
Last updated
June 27, 2024
Certified
June 27, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 40658 TX

Mailing address

5106 Stone Island Ct
Richmond, TX 77407-1443
Phone
(847) 749-6570

About Dr. Bouker

Logan Ali Bouker, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 117 Southpoint Loop Ste 400, Livingston, TX 77351-8899. The NPI number 1154166536 was assigned on June 27, 2024 and the record was last updated on June 27, 2024.

Dr. Bouker lists a license in the registry: #40658 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Logan Ali Bouker, DMD?

The NPI number is 1154166536.

What is the phone number of Dr. Bouker?

The phone number listed for the practice location is (128) 181-2195.

Where is Dr. Bouker located?

117 Southpoint Loop Ste 400, Livingston, TX 77351-8899.

What is the taxonomy code for Dr. Bouker?

The primary taxonomy code is 122300000X – Dentist.

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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