Boulos Dental Care, P.C.
NPI 1023308392 · Exclusive Provider Organization · Shoreview, MN
Boulos Dental Care, P.C. is a Exclusive Provider Organization organization in Shoreview, MN (NPI 1023308392).
Provider details
- NPI number
- 1023308392
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Samy Boulos, Dentist (DDS)(952) 465-7210
- License
- 12329 (MN)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-07
- Last updated
- 2011-04-07
Frequently asked questions
- What is Boulos Dental Care, P.C.'s NPI number?
- Boulos Dental Care, P.C.'s National Provider Identifier (NPI) is 1023308392, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boulos Dental Care, P.C.?
- Boulos Dental Care, P.C. is classified in the NPPES registry as Exclusive Provider Organization (Managed Care Organizations).
- Where is Boulos Dental Care, P.C. located?
- Boulos Dental Care, P.C.'s practice location on file with NPPES is 470 Highway 96 W, Shoreview, MN 55126-1996.
- What is Boulos Dental Care, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Boulos Dental Care, P.C. is (952) 465-7210.
- Who is the authorized official for Boulos Dental Care, P.C.?
- The authorized official listed on Boulos Dental Care, P.C.'s NPPES record is Samy Boulos, Dentist (DDS). The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boulos Dental Care, P.C.'s NPI active?
- Yes — Boulos Dental Care, P.C.'s NPI (1023308392) is active in the NPPES registry as of the last update on 2011-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.