Ma Boule DMD PC

General Practice Dentistry · Plano, IL

Organization Active NPI

NPI number 1700043064

Practice location

3910 Turner Ave
Plano, IL 60545-9727
Phone
(630) 552-3410
Fax
(630) 552-1543

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NPI record

NPI
1700043064
Entity type
Organization (Type 2)
Enumeration date
May 22, 2008
Last updated
May 22, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019026313 IL

Authorized official

Name
Dr. Melvin Anthony Boule, DMD
Title
Owner
Phone
(630) 552-3410

Other names

  • Boule Dental

About Ma Boule DMD PC

Ma Boule DMD PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3910 Turner Ave, Plano, IL 60545-9727. The NPI number 1700043064 was assigned on May 22, 2008 and the record was last updated on May 22, 2008.

Ma Boule DMD PC lists a license in the registry: #019026313 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Melvin Anthony Boule, DMD, Owner.

Frequently asked questions

What is the NPI number of Ma Boule DMD PC?

The NPI number is 1700043064.

What is the phone number of Ma Boule DMD PC?

The phone number listed for the practice location is (630) 552-3410.

Where is Ma Boule DMD PC located?

3910 Turner Ave, Plano, IL 60545-9727.

What is the taxonomy code for Ma Boule DMD PC?

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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