Russell Boulton, DDS
NPI 1770709511 · General Practice Dentistry · Holladay, UT
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Russell Boulton, DDS is a General Practice Dentistry provider in Holladay, UT (NPI 1770709511).
Provider details
- NPI number
- 1770709511
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 131570 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2007-07-08
Frequently asked questions
- What is Russell Boulton's NPI number?
- Russell Boulton's National Provider Identifier (NPI) is 1770709511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russell Boulton's specialty?
- Russell Boulton is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Russell Boulton located?
- Russell Boulton's practice location on file with NPPES is 2180 E 4500 S, Holladay, UT 84117-4434.
- What is Russell Boulton's phone number?
- The practice phone number listed in the NPPES registry for Russell Boulton is (801) 277-9681.
- Does Russell Boulton accept Medicare?
- Russell Boulton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Russell Boulton's NPI active?
- Yes — Russell Boulton's NPI (1770709511) 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.