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Contact Information

THADDEUS S BOUCREE, M.D., DDS
535 SYCAMORE AVE
SHREWSBURY, NJ07702
 Phone: 732-741-0970
 Fax: 732-747-2606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for THADDEUS S BOUCREE · (Male)

NPI # 1942464417
Status Active
Credentials M.D., DDS
Entity Individual
Enumeration date 07/15/2008
Last updated 09/15/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA10083000
  • NY License # 301972
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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