Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629836010 Individual Practitioner Male Practitioner

Dr. Mina Boulos , DMD

Dentist - General Practice • Ocean, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Mina Boulos, DMD is a registered healthcare professional specializing in Dentist - General Practice in Ocean, NJ. Practice services are available at 922 ROUTE 35 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

922 Route 35

Ocean, NJ 077124549

Telephone 8482172029
Associated Practice Facility / Clinic
🏢 Pavlushkin Dental Llc Facility NPI 1477329332

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ocean, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
14 Specialists

Practicing in Ocean, NJ (4316 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: 2025-12-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI03089400

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

4 Associated Practitioners
NPI 1093496812
Dr. Steven Pavlushkin , DDS

Dentist - General Practice

NPI 1114530284

Doctor of Dental Surgery

Dr. Vasiliki Moutopoulos , DMD

Dentist - General Practice

NPI 1588312847

Doctor of Dental Medicine

Dr. Stefanie Scholz , DDS, MBS

Dentist - General Practice

NPI 1639755481

Doctor of Dental Surgery, MBS

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 29, 2025

Registered at 922 ROUTE 35, OCEAN, NJ 077124549 (Tel: 8482172029)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2025

Dentist (License #22DI03089400 in NJ)

NPI Profile Active March 11, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2024

Registered at 2500 KENSINGTON AVE, BUFFALO, NY 142264927 (Tel: 7164376453)

📍
Updated Business Mailing Address March 11, 2024

Registered at 12 CRAWFORD PL, OLD BRIDGE, NJ 088573403 (Tel: 7325019834)

👤
Provider Name / Credentials Updated March 11, 2024

Recorded as MINA BOULOS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 11, 2024

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: 1629836010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2024
Last Update: December 29, 2025
Sole Proprietor: Yes

Mailing Address

12 Crawford Pl

Old Bridge, NJ 088573403

Phone: 7325019834

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.