IndividualActive
Nardeen Boulos, DMD
NPI 1679190342 · Dentist · San Jacinto, CA
Nardeen Boulos, DMD is a Dentist provider in San Jacinto, CA (NPI 1679190342).
Provider details
- NPI number
- 1679190342
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 104954 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1695 S San Jacinto Ave Ste N
San Jacinto, CA 92583-5104
Phone: (949) 521-9854
Street-level locationGet directions
Mailing address
78 Billings Ave
Beaumont, CA 92223-3127
Registry dates
- Enumerated
- 2020-06-29
- Last updated
- 2024-01-10
- Certified
- 2024-01-10
Frequently asked questions
- What is Nardeen Boulos's NPI number?
- Nardeen Boulos's National Provider Identifier (NPI) is 1679190342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nardeen Boulos's specialty?
- Nardeen Boulos is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Nardeen Boulos located?
- Nardeen Boulos's practice location on file with NPPES is 1695 S San Jacinto Ave Ste N, San Jacinto, CA 92583-5104.
- What is Nardeen Boulos's phone number?
- The practice phone number listed in the NPPES registry for Nardeen Boulos is (949) 521-9854.
- Is Nardeen Boulos's NPI active?
- Yes — Nardeen Boulos's NPI (1679190342) is active in the NPPES registry as of the last update on 2024-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.