What is Jillisa Boller's NPI number?

Jillisa Boller's National Provider Identifier (NPI) is 1750730446, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jillisa Boller's specialty?

Jillisa Boller is listed in the NPPES registry with a primary specialty of Dental Assistant (Dental Providers).

Where is Jillisa Boller located?

Jillisa Boller's practice location on file with NPPES is 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005.

What is Jillisa Boller's phone number?

The practice phone number listed in the NPPES registry for Jillisa Boller is (315) 772-6234.

Is Jillisa Boller's NPI active?

Yes — Jillisa Boller's NPI (1750730446) is active in the NPPES registry as of the last update on 2016-06-03.

IndividualActive

Jillisa Boller, DENTAL ASSISTANT X2

NPI 1750730446 · Dental Assistant · Fort Drum, NY

Jillisa Boller, DENTAL ASSISTANT X2 is a Dental Assistant provider in Fort Drum, NY (NPI 1750730446).

Provider details

NPI number: 1750730446
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: DENTAL ASSISTANT X2
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Dental AssistantPrimary126800000X
Dental Providers

Profile Score

Established profile(65/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
83% 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

10590 Enduring Freedom Dr

Fort Drum, NY 13602-5005

Phone: (315) 772-6234

Approximate (ZIP-level) locationGet directions

More NY providers

Mailing address