DR. MARTIN A BOUDRO DDS MSD
NPI 1366521155
Dentist - General Practice in Kennewick, WA

Active since November 03, 2006
804 S WASHINGTON, KENNEWICK, WA 99336(509) 582-9182(509) 586-8179 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Martin A Boudro Dds Msd NPPES

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

DR. MARTIN A BOUDRO DDS MSD (NPI 1366521155) is an individual general practice provider in Kennewick, Washington, licensed in Washington (5392) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1366521155
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARTIN A BOUDROCredential: DDS MSD
Location Address804 S WASHINGTONKennewick, WA 99336
Mailing Address804 S WashingtonKennewick, WA 99336 · (509) 582-9182 · Fax (509) 586-8179
Fax(509) 586-8179
Sole ProprietorNo
Enumeration DateNovember 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1366521155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · 5392
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.

804 S WASHINGTON, Kennewick, WA 99336

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 Martin Boudro's NPI number?

The NPI number for Martin Boudro is 1366521155. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Martin Boudro located?

Martin Boudro practices at 804 S Washington, Kennewick, WA 99336. The listed phone number is (509) 582-9182.

What is Martin Boudro's specialty?

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

When was this NPI record last updated?

The NPPES record for Martin Boudro was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.