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.
✓ Active NPI ✓ Valid NPI checksum
| 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?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.