Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679190342 Individual Practitioner Female Practitioner

Dr. Nardeen Boulos , DMD

Dentist • San Jacinto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Nardeen Boulos, DMD is a registered healthcare professional specializing in Dentist in San Jacinto, CA. Practice services are available at 1695 S SAN JACINTO AVE STE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1695 S San Jacinto Ave Ste N

San Jacinto, CA 925835104

Telephone 9495219854
Associated Practice Facility / Clinic
🏢 Deep Muko Dds, Inc. Facility NPI 1104543792

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in San Jacinto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
7 Specialists

Practicing in San Jacinto, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 104954

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated January 10, 2024

Recorded as NARDEEN BOULOS, DMD

NPI Profile Active June 29, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2020

Registered at 1695 S SAN JACINTO AVE STE N, SAN JACINTO, CA 925835104 (Tel: 9495219854)

📍
Updated Business Mailing Address June 29, 2020

Registered at 78 BILLINGS AVE, BEAUMONT, CA 922233127 (Tel: 9495219854)

👤
Provider Name / Credentials Updated June 29, 2020

Recorded as NARDEEN MALAK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2020

Dentist (License #104954 in CA)

🟢
Initial NPI Registration & Enumeration June 29, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679190342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2020
Last Update: January 10, 2024
Sole Proprietor: No

Mailing Address

78 Billings Ave

Beaumont, CA 922233127

Phone: 9495219854

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.