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DR. TAMMY MARIE BOUDRY DDS
NPI 1548489966
Dentist in Fond Du Lac, WI

Active since April 24, 2007PECOS Enrolled
133 PARKWAY CT, FOND DU LAC, WI 54935(920) 921-0158 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Tammy Marie Boudry Dds NPPES

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

DR. TAMMY MARIE BOUDRY DDS (NPI 1548489966) is an individual dentist in Fond Du Lac, Wisconsin, licensed in Wisconsin (6050 - 15) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548489966
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. TAMMY MARIE BOUDRYCredential: DDS
Location Address133 PARKWAY CTFond Du Lac, WI 54935-3809
Mailing AddressPo Box 1323Fond Du Lac, WI 54936-1323 · (920) 921-0158
Phone(920) 921-0158
Sole ProprietorYes
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1548489966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 6050 - 15
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
133 PARKWAY CT, Fond Du Lac, WI 54935
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tammy Marie Boudry Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tammy Boudry's NPI number?

The NPI number for Tammy Boudry is 1548489966. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Tammy Boudry located?

Tammy Boudry practices at 133 Parkway Ct, Fond Du Lac, WI 54935. The listed phone number is (920) 921-0158.

What is Tammy Boudry's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tammy Boudry enrolled in Medicare?

Yes. Tammy Boudry is registered in the Medicare PECOS enrollment system.

What insurance does Tammy Boudry accept?

Health plans from Delta Dental of Wisconsin, Inc. list Tammy Boudry 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 Tammy Boudry 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.