Dr. Barry Booth Boughan , DDS
Dentist - General Practice • Phoenix, AZ
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. Barry Boughan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Barry Boughan, DDS was a registered Dentist - General Practice practicing in Phoenix, AZ. Throughout an active medical career spanning 19 years, Dr. Boughan provided care at the practice location at 1904 W PARKSIDE LN until profile deactivation on 2025-12-04.
Practice Location & Contact Primary Location
1904 W Parkside Ln
Suite 201
Phoenix, AZ 850271228
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Phoenix, AZ
Practicing in Phoenix, AZ (2600 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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Medicine
Dental Hygienist
Registered Dental Hygienist
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 04, 2025
NPI status registered as active in NPPES database
Registered at 1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 850271228 (Tel: 6234349343)
Registered at 485 S DOBSON RD, SUITE 204, CHANDLER, AZ 852245602 (Tel: 6234349343)
Recorded as BARRY BOUGHAN, DDS
Dentist (License #D6553 in AZ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
485 S Dobson Rd, Suite 204
Chandler, AZ 852245602
Phone: 6234349343
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.