National Provider Identifier Database

JOSEPH R BOULTER, DMD – NPI #1053381632
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

JOSEPH R BOULTER, DMD
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL32217
Phone: 904-731-0432
Fax: 904-731-5755
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for JOSEPH R BOULTER

NPI Number 1053381632
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 10715
  • NC License #: 5542
Hospital affiliation n/a

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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