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JOSEPH R. BOULTER, D.M.D., M.A.G.D., P.A.
NPI 1225232176
Dentist - General Practice in Jacksonville, FL

Active since June 13, 2007
8823 GOODBYS EXECUTIVE DR, JACKSONVILLE, FL 32217(904) 731-0432(904) 731-5755 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph R. Boulter, D.m.d., M.a.g.d., P.a. NPPES

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

JOSEPH R. BOULTER, D.M.D., M.A.G.D., P.A. (NPI 1225232176) is a healthcare organization registered as a general practice in Jacksonville, Florida and active in the NPI registry since June 2007. The organization lists Joseph Robert Boulter, Owner, as its authorized official.

NPPES Registry Identity

NPI1225232176
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJOSEPH R. BOULTER, D.M.D., M.A.G.D., P.A.
Location Address8823 GOODBYS EXECUTIVE DRJacksonville, FL 32217-4691
Mailing Address8823 Goodbys Executive DrJacksonville, FL 32217-4691 · (904) 731-0432 · Fax (904) 731-5755
Phone(904) 731-0432
Fax(904) 731-5755
Organization SubpartNo
Authorized OfficialJoseph Robert BoulterOwner · (904) 731-0432
Enumeration DateJune 13, 2007
Last NPPES UpdateFebruary 29, 2012
✔ NPI 1225232176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
8823 GOODBYS EXECUTIVE DR, Jacksonville, FL 32217
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES 5

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

JOSEPH ROBERT BOULTER DMD
Dentist (General Practice)
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (904) 731-0432
DR. SYDNEY NICOLE BATES DMD
Dentist (General Practice)
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (904) 762-8090
DR. KEVIN CHRISTOPHER WIMAN DMD
Dentist
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (470) 336-2612
STEFAN NICHOLAS STROH DMD
Dentist
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (904) 215-3182
PATRIOT FAMILY DENTAL PA
Dentist (General Practice)
8823 GOODBYS EXECUTIVE DR
JACKSONVILLE, FL 32217
Duval County (470) 336-2612

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 Joseph R. Boulter, D.M.D., M.A.G.D., P.A.'s NPI number?

The NPI number for Joseph R. Boulter, D.M.D., M.A.G.D., P.A. is 1225232176. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Joseph R. Boulter, D.M.D., M.A.G.D., P.A. located?

Joseph R. Boulter, D.M.D., M.A.G.D., P.A. is located at 8823 Goodbys Executive Dr, Jacksonville, FL 32217. The listed phone number is (904) 731-0432.

What is Joseph R. Boulter, D.M.D., M.A.G.D., P.A.'s specialty?

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

What insurance does Joseph R. Boulter, D.M.D., M.A.G.D., P.A. accept?

Health plans from Ambetter Health and Ambetter of Alabama list Joseph R. Boulter, D.M.D., M.A.G.D., P.A. 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 Joseph R. Boulter, D.M.D., M.A.G.D., P.A. was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.