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Nancy Boutros, DDS DOCTOR OF DENTAL
NPI 1063562072 · Dentist · San Gabriel, CA
Nancy Boutros, DDS DOCTOR OF DENTAL is a Dentist provider in San Gabriel, CA (NPI 1063562072).
Provider details
- NPI number
- 1063562072
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS DOCTOR OF DENTAL
- Sex
- Female
- Sole proprietor
- No
- License
- 42809 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1381 E Las Junas Dr
Suite #8
San Gabriel, CA 91776
Phone: (626) 614-5800
Fax: (626) 614-9570
Street-level locationGet directions
Mailing address
608 10th St
Santa Monica, CA 90402
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2007-07-08
Frequently asked questions
- What is Nancy Boutros's NPI number?
- Nancy Boutros's National Provider Identifier (NPI) is 1063562072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nancy Boutros's specialty?
- Nancy Boutros is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Nancy Boutros located?
- Nancy Boutros's practice location on file with NPPES is 1381 E Las Junas Dr, San Gabriel, CA 91776.
- What is Nancy Boutros's phone number?
- The practice phone number listed in the NPPES registry for Nancy Boutros is (626) 614-5800.
- Is Nancy Boutros's NPI active?
- Yes — Nancy Boutros's NPI (1063562072) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.