IndividualActive
Lucian Boboia, DDS
NPI 1215004783 · Dental Anesthesiology · Fort Wayne, IN
Provider details
- NPI number
- 1215004783
- Entity type
- Individual
- Primary specialty
- Dental AnesthesiologyDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 29705 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
3030 Lake Ave Ste 15
Fort Wayne, IN 46805-5428
Phone: (512) 902-9997
Approximate (ZIP-level) locationGet directions
Mailing address
3030 Lake Ave Ste 15
Fort Wayne, IN 46805-5428
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2021-02-26
- Certified
- 2021-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.