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

DR. JUDY ANDREA BOUTROS D.D.S.
NPI 1417152125
Dentist - Endodontics in Ottawa Hills, OH

Active since June 21, 2007
4210 W CENTRAL AVE, OTTAWA HILLS, OH 43606(567) 389-8889 Get Directions Write a Review

NPPES record last updated: August 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Judy Andrea Boutros D.d.s. NPPES

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

DR. JUDY ANDREA BOUTROS D.D.S. (NPI 1417152125) is an individual endodontics provider in Ottawa Hills, Ohio, licensed in Ohio (30021105) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1417152125
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JUDY ANDREA BOUTROSCredential: D.D.S.
Location Address4210 W CENTRAL AVEOttawa Hills, OH 43606-2270
Mailing Address6455 Monroe St Apt 309Sylvania, OH 43560-1479 · (419) 206-9289
Phone(567) 389-8889
Sole ProprietorNo
Enumeration DateJune 21, 2007
Last NPPES UpdateAugust 2, 2026
NPPES CertifiedAugust 2, 2026
✔ NPI 1417152125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in OH · 30021105
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
4210 W CENTRAL AVE, Ottawa Hills, OH 43606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Ohio.Insurance ›

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.

KENNETH BROCHIN, D.D.S., LLC
Dentist (General Practice)
4210 W CENTRAL AVE
OTTAWA HILLS, OH 43606
Lucas County (419) 535-1066
KENNETH BROCHIN DDS
Dentist (General Practice)
4210 W CENTRAL AVE
OTTAWA HILLS, OH 43606
Lucas County (419) 535-1066

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 Judy Boutros's NPI number?

The NPI number for Judy Boutros is 1417152125. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Where is Judy Boutros located?

Judy Boutros practices at 4210 W Central Ave, Ottawa Hills, OH 43606. The listed phone number is (567) 389-8889.

What is Judy Boutros's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Judy Boutros accept?

Health plans from Delta Dental of Ohio list Judy Boutros 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 Judy Boutros was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.