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Mina Boulos, DDS
NPI 1912837774 · General Practice Dentistry · Shoreview, MN
Mina Boulos, DDS is a General Practice Dentistry provider in Shoreview, MN (NPI 1912837774).
Provider details
- NPI number
- 1912837774
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D15431 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
470 Highway 96 W Ste 200
Shoreview, MN 55126-3214
Phone: (651) 366-6880
Fax: (651) 366-6880
Street-level locationGet directions
Mailing address
7702 Narcissus Ln N
Maple Grove, MN 55311-1849
Registry dates
- Enumerated
- 2026-05-21
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Frequently asked questions
- What is Mina Boulos's NPI number?
- Mina Boulos's National Provider Identifier (NPI) is 1912837774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mina Boulos's specialty?
- Mina Boulos is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Mina Boulos located?
- Mina Boulos's practice location on file with NPPES is 470 Highway 96 W Ste 200, Shoreview, MN 55126-3214.
- What is Mina Boulos's phone number?
- The practice phone number listed in the NPPES registry for Mina Boulos is (651) 366-6880.
- Is Mina Boulos's NPI active?
- Yes — Mina Boulos's NPI (1912837774) is active in the NPPES registry as of the last update on 2026-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.