NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Boulos Dental Care, P.C.

Exclusive Provider Organization in Shoreview, MN · enumerated 2011 · authorized official Samy Boulos, Dentist (DDS).

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023308392

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Boulos Dental Care, P.C.
Practice address 470 Highway 96 W, Suite 200, Shoreview, MN, 55126
Phone (952) 465-7210
Enumeration date Apr 7, 2011
Last updated in NPPES Apr 7, 2011

Taxonomy & classification

302F00000X Exclusive Provider Organization Managed Care Organizations · License 12329 (MN) Primary

Authorized official

Name Samy Boulos
Title Dentist (DDS)
Phone (952) 465-7210

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Boulos Dental Care, P.C. located?
The practice location on file with NPPES is in Shoreview, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-04-07. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-04-07.