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Active NPI 1467902155 Individual Practitioner Male Practitioner

Bassel Boulos

Dentist - General Practice • Roxbury, MA

Professional Overview & Biography Verified Profile Summary

Bassel Boulos is a registered healthcare professional specializing in Dentist - General Practice in Roxbury, MA. Practice services are available at 1290 TREMONT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1290 Tremont St

Roxbury, MA 021203432

Telephone 6174271000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Roxbury, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
15 Specialists

Practicing in Roxbury, MA (3722 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NH 04520

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

40 Associated Practitioners
Jasmine Haque-Ahmed

Nurse Practitioner - Family

NPI 1003457763
NPI 1093678773
NPI 1114728078
Fadzai Semwayo , NP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1154294346

Nurse Practitioner

Brenda Daley , LICSW

Social Worker - Clinical

NPI 1164552485

Licensed Independent Clinical Social Worker

Valerie Akins , RDH

Dental Hygienist

NPI 1164553681

Registered Dental Hygienist

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address September 20, 2019

Registered at 100 BRIDGE ST, PELHAM, NH 030763422 (Tel: 6039314698)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2019

Dentist (License #04520 in NH)

NPI Profile Active October 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2016

Registered at 1290 TREMONT ST, ROXBURY, MA 021203432 (Tel: 6174271000)

📍
Updated Business Mailing Address October 06, 2016

Registered at 1290 TREMONT ST, ROXBURY, MA 021203432 (Tel: 6174271000)

👤
Provider Name / Credentials Updated October 06, 2016

Recorded as BASSEL BOULOS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2016

Dentist (License #DL13115 in MA)

🟢
Initial NPI Registration & Enumeration October 06, 2016

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: 1467902155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2016
Last Update: September 20, 2019
Sole Proprietor: No

Mailing Address

100 Bridge St

Pelham, NH 030763422

Phone: 6039314698

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.