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Active NPI 1053961276 Individual Practitioner Male Practitioner

Rafik Boulos

Dentist - General Practice • Towson, MD

Professional Overview & Biography Verified Profile Summary

Rafik Boulos is a registered healthcare professional specializing in Dentist - General Practice in Towson, MD. Practice services are available at 8501 LASALLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8501 Lasalle Rd
306

Towson, MD 21286

Telephone 4102967599
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Towson, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
48 Specialists

Practicing in Towson, MD (2555 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: 2026-04-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 17085

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

8140 Corporate Dr Ste 200

Nottingham, MD 212366902

Phone: 4109003882

Practice Associates & Co-Workers

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

3 Associated Practitioners
Magd Naguib

Dentist - General Practice

NPI 1205525003
Dr. Nehal Patel , DDS

Dentist - General Practice

NPI 1740919646

Doctor of Dental Surgery

NPI 1912657461

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location May 27, 2020

Registered at 8501 LASALLE RD, 306, TOWSON, MD 21286 (Tel: 4102967599)

NPI Profile Active September 19, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2019

Registered at 208 CRAIN HIGHWAY SW, GLEN BURNIE, MD 21061 (Tel: 4105530651)

📍
Updated Business Mailing Address September 19, 2019

Registered at 3730 LIGON RD, ELLICOTT CITY, MD 210425241 (Tel: 4109003882)

👤
Provider Name / Credentials Updated September 19, 2019

Recorded as RAFIK BOULOS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2019

Dentist (License #17085 in MD)

🟢
Initial NPI Registration & Enumeration September 19, 2019

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: 1053961276
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2019
Last Update: April 19, 2026
Sole Proprietor: No

Mailing Address

3730 Ligon Rd

Ellicott City, MD 210425241

Phone: 4109003882

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.