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Boulevard Dental LLC

Boulevard Dental LLC is a healthcare organization registered as Dentist in Seminole, FL, holding Type 2 (organization) NPI 1114073590 since 2007. The authorized official on file is Frank Moss, Owner.

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NPI 1114073590
Entity type Organization (Type 2)
Legal business name Boulevard Dental LLC
Practice address 8475 SEMINOLE BLVD, Seminole, FL, 33772
Phone 7273936025
Fax 7273975222
Enumeration date 2007-01-26
Last updated in NPPES 2020-08-22

Authorized official

Name Frank Moss
Title Owner
Phone 7273936024

Taxonomy & classification

Taxonomy code Specialty Primary License State
122300000X Dentist Secondary DN16886 FL
122300000X Dentist Primary DN6079 FL
Copy-ready billing details
Provider: Boulevard Dental LLC
NPI: 1114073590
Taxonomy: 122300000X (Dentist)
Address: 8475 SEMINOLE BLVD, Seminole, FL, 33772

Providers at this address

NPI Name Type Specialty Location
1740295674 Chris Wujick Individual Dentist Seminole, FL
1013063494 Frank Moss Individual Dentist Seminole, FL
1093978827 Jason Kopakin Individual Dentist Seminole, FL
1164072823 Lester Castillo Individual Dentist Seminole, FL

Verify this record

Cross-check NPI 1114073590 against the authoritative CMS record: view Boulevard Dental LLC on the official NPPES registry .

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 or validate an NPI number.

Frequently asked questions

Where is Boulevard Dental LLC located?
The practice location on file with NPPES is in Seminole, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.