DR. BONNIE BOUDREAUX DMD, MS
NPI 1538419023
Dentist - Endodontics in Sweetwater, TN

Q: What is Bonnie Boudreaux's NPI number?

The NPI number for Bonnie Boudreaux is 1538419023. It was assigned to this individual provider in the NPPES registry on September 12, 2012.

Q: What is Bonnie Boudreaux's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bonnie Boudreaux was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 12, 2012

PO BOX 480, SWEETWATER, TN 37874(423) 271-6075(423) 271-6065 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 18, 2024, Apr 27, 2017 (2 updates tracked since 2017).

On this page

About Dr. Bonnie Boudreaux Dmd, Ms NPPES

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

DR. BONNIE BOUDREAUX DMD, MS (NPI 1538419023) is an individual endodontics provider in Sweetwater, Tennessee, licensed in Tennessee (11895) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1538419023

Entity TypeIndividualFemale

Primary Taxonomy1223E0200X

Provider Legal NameDR. BONNIE BOUDREAUXCredential: DMD, MS

Location AddressPO BOX 480Sweetwater, TN 37874-0480

Mailing AddressPo Box 480Sweetwater, TN 37874-0480 · (423) 271-6075 · Fax (423) 271-6065

Phone(423) 271-6075

Fax(423) 271-6065

Sole ProprietorNo

Enumeration DateSeptember 12, 2012

Last NPPES UpdateJune 18, 20242 updates tracked since enumeration

NPPES CertifiedJune 18, 2024

✔ NPI 1538419023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in TN · 11895

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.

PO BOX 480, Sweetwater, TN 37874

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee.Insurance ›

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 Bonnie Boudreaux's NPI number?

The NPI number for Bonnie Boudreaux is 1538419023. It was assigned to this individual provider in the NPPES registry on September 12, 2012.

Where is Bonnie Boudreaux located?

Bonnie Boudreaux practices at PO Box 480, Sweetwater, TN 37874. The listed phone number is (423) 271-6075.

What is Bonnie Boudreaux's specialty?

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

What insurance does Bonnie Boudreaux accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Bonnie Boudreaux 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 Bonnie Boudreaux was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.