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Active NPI 1619338084 Individual Practitioner Female Practitioner

Dr. Mina Choe Boudreau , DMD

Dentist - General Practice • Watertown, MA

Professional Overview & Biography Verified Profile Summary

Dr. Mina Boudreau, DMD is a registered healthcare professional specializing in Dentist - General Practice in Watertown, MA. Practice services are available at 144 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

144 Main St

Watertown, MA 024724409

Telephone 6173964621
Associated Practice Facility / Clinic
🏢 Good Night Sleep Solutions Llc Facility NPI 1184346256

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Watertown, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
21 Specialists

Practicing in Watertown, 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

CMS Verified: 2023-02-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1857119

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.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 23, 2023

Registered at 144 MAIN ST, WATERTOWN, MA 024724409 (Tel: 6173964621)

📍
Updated Business Mailing Address February 23, 2023

Registered at 144 MAIN ST, WATERTOWN, MA 024724409

✅
NPI Profile Active March 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2016

Registered at 463 WORCESTER RD, #201, FRAMINGHAM, MA 017015356 (Tel: 5088207792)

📍
Updated Business Mailing Address March 14, 2016

Registered at 463 WORCESTER RD, #201, FRAMINGHAM, MA 017015356

👤
Provider Name / Credentials Updated March 14, 2016

Recorded as MINA BOUDREAU, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2016

Dentist (License #DN1857119 in MA)

🟢
Initial NPI Registration & Enumeration March 14, 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: 1619338084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2016
Last Update: February 23, 2023
Sole Proprietor: No
Update or Correct Profile

Mailing Address

144 Main St

Watertown, MA 024724409

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.