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BOUYEAN DENTISTRY PLLC
NPI 1558085563
Dentist - General Practice in Fort Stockton, TX

Active since October 03, 2022
1108 W DICKINSON BLVD STE B, FORT STOCKTON, TX 79735(432) 336-8700 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bouyean Dentistry Pllc NPPES

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

BOUYEAN DENTISTRY PLLC (NPI 1558085563) is a healthcare organization registered as a general practice in Fort Stockton, Texas and active in the NPI registry since October 2022. The organization lists Nickolas Kim, Dentist, as its authorized official.

NPPES Registry Identity

NPI1558085563
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOUYEAN DENTISTRY PLLC
Location Address1108 W DICKINSON BLVD STE BFort Stockton, TX 79735-4201
Mailing Address1108 W Dickinson Blvd Ste BFort Stockton, TX 79735-4201 · (432) 336-8700
Phone(432) 336-8700
Organization SubpartNo
Authorized OfficialNickolas KimDentist · (702) 505-1257
Enumeration DateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
✔ NPI 1558085563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1108 W DICKINSON BLVD STE B, Fort Stockton, TX 79735
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. DELTON DEE YARBROUGH II D.D.S.
Dentist (General Practice)
1108 W DICKINSON BLVD STE B
FORT STOCKTON, TX 79735
Pecos County (432) 336-8574
COMMUNITY DENTAL FOR KIDS
Dentist (General Practice)
1108 W DICKINSON BLVD STE B
FORT STOCKTON, TX 79735
Pecos County (480) 734-4712

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 Bouyean Dentistry PLLC's NPI number?

The NPI number for Bouyean Dentistry PLLC is 1558085563. It was assigned to this organization in the NPPES registry on October 3, 2022.

Where is Bouyean Dentistry PLLC located?

Bouyean Dentistry PLLC is located at 1108 W Dickinson Blvd Ste B, Fort Stockton, TX 79735. The listed phone number is (432) 336-8700.

What is Bouyean Dentistry PLLC'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 Bouyean Dentistry PLLC was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.