Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BOULEVARD DENTAL, LLC
NPI 1114073590
Dentist - General Practice in Seminole, FL

Active since January 26, 2007
8475 SEMINOLE BLVD, SEMINOLE, FL 33772(727) 393-6024(727) 397-5222 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 20, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Boulevard Dental, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOULEVARD DENTAL, LLC (NPI 1114073590) is a healthcare organization registered as a general practice in Seminole, Florida and active in the NPI registry since January 2007. The organization lists Chris Wujick, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1114073590
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOULEVARD DENTAL, LLC
Location Address8475 SEMINOLE BLVDSeminole, FL 33772
Mailing Address8475 Seminole BlvdSeminole, FL 33772 · (727) 393-6024 · Fax (727) 397-5222
Fax(727) 397-5222
Organization SubpartNo
Authorized OfficialChris WujickOwner/dentist · (727) 393-6024
Enumeration DateJanuary 26, 2007
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
NPI 1114073590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
Also ListedDentistTaxonomy 122300000X
8475 SEMINOLE BLVD, Seminole, FL 33772

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
8475 SEMINOLE BLVD
SEMINOLE, FL 33772
Dentist
8475 SEMINOLE BLVD
SEMINOLE, FL 33772
Dentist
8475 SEMINOLE BLVD
SEMINOLE, FL 33772
Dentist
8475 SEMINOLE BLVD
SEMINOLE, FL 33772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boulevard Dental, LLC's NPI number?

The NPI number for Boulevard Dental, LLC is 1114073590. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Boulevard Dental, LLC located?

Boulevard Dental, LLC is located at 8475 Seminole Blvd, Seminole, FL 33772. The listed phone number is (727) 393-6024.

What is Boulevard Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Boulevard Dental, LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Boulevard Dental, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boulevard Dental, LLC was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.