IndividualActive
John Boutz, D.D.S., M.S.
NPI 1740265255 · Orthodontics and Dentofacial Orthopedics Dentistry · Albuquerque, NM
Provider details
- NPI number
- 1740265255
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S., M.S.
- Sex
- Male
- License
- DD964 (NM)
Practice location
7111 Prospect Pl Ne
Suite C
Albuquerque, NM 87110-4309
Phone: (505) 883-5773
Mailing address
7111 Prospect Pl Ne
Albuquerque, NM 87110-4309
Registry dates
- Enumerated
- 2005-12-07
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.