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MINA CHOE BOUDREAU D.M.D.
NPI 1619338084
Dentist - General Practice in Watertown, MA

Active since March 14, 2016
144 MAIN ST, WATERTOWN, MA 02472(617) 396-4621 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 23, 2023, Mar 14, 2016 (2 updates tracked since 2016).

About Mina Choe Boudreau D.m.d. NPPES

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

MINA CHOE BOUDREAU D.M.D. (NPI 1619338084) is an individual general practice provider in Watertown, Massachusetts, licensed in Massachusetts (DN1857119) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1619338084
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMINA CHOE BOUDREAUCredential: D.M.D.
Location Address144 MAIN STWatertown, MA 02472-4409
Mailing Address144 Main StWatertown, MA 02472-4409
Phone(617) 396-4621
Sole ProprietorNo
Enumeration DateMarch 14, 2016
Last NPPES UpdateFebruary 23, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2023
✔ NPI 1619338084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · DN1857119
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.
144 MAIN ST, Watertown, MA 02472
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOOD NIGHT SLEEP SOLUTIONS LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
144 MAIN ST
WATERTOWN, MA 02472
Middlesex County (857) 304-4153

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 Mina Boudreau's NPI number?

The NPI number for Mina Boudreau is 1619338084. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Where is Mina Boudreau located?

Mina Boudreau practices at 144 Main St, Watertown, MA 02472. The listed phone number is (617) 396-4621.

What is Mina Boudreau's specialty?

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

What insurance does Mina Boudreau accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mina Boudreau 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 Mina Boudreau was last updated on February 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.