Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275775348 Individual Practitioner Male Practitioner

Dr. Samy Wasfy Boulos , DDS

Dentist - General Practice • Shoreview, MN

Professional Overview & Biography Verified Profile Summary

Dr. Samy Boulos, DDS is a registered healthcare professional specializing in Dentist - General Practice in Shoreview, MN. Practice services are available at 470 HIGHWAY 96 W STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

470 Highway 96 W Ste 200

Shoreview, MN 551263214

Telephone 6513666880
Fax 6513666881
Associated Practice Facility / Clinic
🏢 Turtle Cove Dental Facility NPI 1952867046

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Shoreview, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Shoreview, MN (2262 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 MN D12329

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

14000 Northdale Blvd Ste J

Rogers, MN 553744663

Phone: 7634282300

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Mina Boulos , DDS

Dentist - General Practice

NPI 1912837774

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 14, 2019

Registered at 470 HIGHWAY 96 W STE 200, SHOREVIEW, MN 551263214 (Tel: 6513666880)

📍
Updated Business Mailing Address February 14, 2019

Registered at 470 HIGHWAY 96 W STE 200, SHOREVIEW, MN 551263214 (Tel: 6513666880)

NPI Profile Active April 03, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2009

Registered at 1060 HIGHWAY 15 S # 84, HUTCHINSON, MN 553503157 (Tel: 3202346677)

📍
Updated Business Mailing Address April 03, 2009

Registered at 6600 FRANCE AVE S STE 415, EDINA, MN 554351817 (Tel: 9522249771)

👤
Provider Name / Credentials Updated April 03, 2009

Recorded as SAMY BOULOS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2009

Dentist (License #D12329 in MN)

🟢
Initial NPI Registration & Enumeration April 03, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Samy Boulos. Be the first to share your experience!

Sign in to leave a review for Dr. Samy Boulos

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1275775348
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2009
Last Update: February 14, 2019
Sole Proprietor: No

Mailing Address

470 Highway 96 W Ste 200

Shoreview, MN 551263214

Phone: 6513666880

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.