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

Q: 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.

Q: What is Martin Boudro's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Martin Boudro was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

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: August 16, 2026.

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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

Phone(509) 582-9182

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

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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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.