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ATEF BOUTROS DDS INC.
NPI 1639229099
Dentist - General Practice in Long Beach, CA

Active since January 10, 2007
1183 E ANAHEIM STREET, LONG BEACH, CA 90813(562) 912-4367(562) 912-4369 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Atef Boutros Dds Inc. NPPES

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

ATEF BOUTROS DDS INC. (NPI 1639229099) is a healthcare organization registered as a general practice in Long Beach, California and active in the NPI registry since January 2007. The organization lists Atef A Boutros, Dentist, as its authorized official.

NPPES Registry Identity

NPI1639229099
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameATEF BOUTROS DDS INC.
Location Address1183 E ANAHEIM STREETLong Beach, CA 90813
Mailing Address1183 E Anaheim StreetLong Beach, CA 90813 · (562) 912-4367 · Fax (562) 912-4369
Phone(562) 912-4367
Fax(562) 912-4369
Organization SubpartNo
Authorized OfficialAtef A BoutrosDentist · (562) 912-4367
Enumeration DateJanuary 10, 2007
Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration
✔ NPI 1639229099 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.
1183 E ANAHEIM STREET, Long Beach, CA 90813
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Other Identifiers 1

MedicaidG93926-01CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. ATEF ABDELMALEK BOUTROS DDS
Dentist (General Practice)
1183 E ANAHEIM STREET
LONG BEACH, CA 90813
Los Angeles County (562) 912-4367

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 Atef Boutros Dds Inc.'s NPI number?

The NPI number for Atef Boutros Dds Inc. is 1639229099. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Atef Boutros Dds Inc. located?

Atef Boutros Dds Inc. is located at 1183 E Anaheim Street, Long Beach, CA 90813. The listed phone number is (562) 912-4367.

What is Atef Boutros Dds Inc.'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 Atef Boutros Dds Inc. was last updated on October 24, 2023. 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.