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Active NPI 1336982438 Individual Practitioner Male Practitioner

Tyler Boutte

Dentist - General Practice • Mobile, AL

Professional Overview & Biography Verified Profile Summary

Tyler Boutte is a registered healthcare professional specializing in Dentist - General Practice in Mobile, AL. Practice services are available at 2423 SCHILLINGER RD S STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2423 Schillinger Rd S Ste 104

Mobile, AL 366954142

Telephone 2516342345

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mobile, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
108 Specialists

Practicing in Mobile, AL (1455 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: 2025-09-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AL D.007547-C1

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.

Secondary Practice Locations

1 Kneeland St

Boston, MA 021111527

Phone: 6176366828

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1225713977

Doctor of Dental Surgery

Dr. Leslie Naritoku , DMD

Dentist - General Practice

NPI 1326713181

Doctor of Dental Medicine

NPI 1689303844

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 18, 2025

Registered at 2423 SCHILLINGER RD S STE 104, MOBILE, AL 366954142 (Tel: 2516342345)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2025

Dentist (License #D.007547-C1 in AL)

NPI Profile Active June 17, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2024

Registered at 1 KNEELAND ST, BOSTON, MA 021111527 (Tel: 6176366828)

📍
Updated Business Mailing Address June 17, 2024

Registered at 99 KNEELAND ST APT 306, BOSTON, MA 021112432 (Tel: 3375798282)

👤
Provider Name / Credentials Updated June 17, 2024

Recorded as TYLER BOUTTE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 17, 2024

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: 1336982438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2024
Last Update: September 18, 2025
Sole Proprietor: Yes

Mailing Address

99 Kneeland St Apt 306

Boston, MA 021112432

Phone: 3375798282

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.