IndividualActive
Kelly Boulom, DDS
NPI 1821169038 · General Practice Dentistry · Sanger, CA
Kelly Boulom, DDS is a General Practice Dentistry provider in Sanger, CA (NPI 1821169038).
Provider details
- NPI number
- 1821169038
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- BB8039023 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
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
2432 Jensen Ave
Sanger, CA 93657-2249
Phone: (559) 875-5538
Street-level locationGet directions
Mailing address
2713 Goshen Ave
Clovis, CA 93611-8177
Registry dates
- Enumerated
- 2006-11-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kelly Boulom's NPI number?
- Kelly Boulom's National Provider Identifier (NPI) is 1821169038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Boulom's specialty?
- Kelly Boulom is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Kelly Boulom located?
- Kelly Boulom's practice location on file with NPPES is 2432 Jensen Ave, Sanger, CA 93657-2249.
- What is Kelly Boulom's phone number?
- The practice phone number listed in the NPPES registry for Kelly Boulom is (559) 875-5538.
- Is Kelly Boulom's NPI active?
- Yes — Kelly Boulom's NPI (1821169038) 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.