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CHLOE BOUCHER
NPI 1265151112
Dentist - Periodontics in Jacksonville, FL

Active since August 24, 2022
3990 SAN JOSE PARK DR, JACKSONVILLE, FL 32217(904) 731-1324 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Chloe Boucher NPPES

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

CHLOE BOUCHER (NPI 1265151112) is an individual periodontics provider in Jacksonville, Florida, licensed in Florida (DN28865) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1265151112
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameCHLOE BOUCHER
Location Address3990 SAN JOSE PARK DRJacksonville, FL 32217-4613
Mailing Address1 Riverside Ave Apt 3520Jacksonville, FL 32202-5156 · (514) 942-7440
Phone(904) 731-1324
Sole ProprietorNo
Enumeration DateAugust 24, 2022
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1265151112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN28865
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3990 SAN JOSE PARK DR, Jacksonville, FL 32217
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Other Providers at the Same Location NPPES 2

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

DR. RAUL SNEYDER MOLINA DMD
Dentist (Periodontics)
3990 SAN JOSE PARK DR
JACKSONVILLE, FL 32217
Duval County (786) 333-2806
DR. GARY DAVID PERLMAN D.D.S.
Dentist (Periodontics)
3990 SAN JOSE PARK DR
JACKSONVILLE, FL 32217
Duval County (904) 731-1324

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 Chloe Boucher's NPI number?

The NPI number for Chloe Boucher is 1265151112. It was assigned to this individual provider in the NPPES registry on August 24, 2022.

Where is Chloe Boucher located?

Chloe Boucher practices at 3990 San Jose Park Dr, Jacksonville, FL 32217. The listed phone number is (904) 731-1324.

What is Chloe Boucher's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Chloe Boucher was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.