Dr. Boulos F Maksemous , DDS
Dentist - General Practice • Fontana, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Boulos Maksemous has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Boulos Maksemous, DDS was a registered Dentist - General Practice practicing in Fontana, CA. Throughout an active medical career spanning 17 years, Dr. Maksemous provided care at the practice location at 18035 MONTGOMERY AVE until profile deactivation on 2024-01-24.
Practice Location & Contact Primary Location
18035 Montgomery Ave
Fontana, CA 923362377
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Fontana, CA
Practicing in Fontana, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 24, 2024
NPI status registered as active in NPPES database
Registered at 18035 MONTGOMERY AVE, FONTANA, CA 923362377 (Tel: 9096413424)
Registered at 18035 MONTGOMERY AVE, FONTANA, CA 923362377 (Tel: 9096413424)
Recorded as BOULOS MAKSEMOUS, DDS
Dentist (License #DL032125 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
18035 Montgomery Ave
Fontana, CA 923362377
Phone: 9096413424
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