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NARDEEN BOULOS DMD
NPI 1679190342
Dentist in San Jacinto, CA

Active since June 29, 2020
1695 S SAN JACINTO AVE STE N, SAN JACINTO, CA 92583(949) 521-9854 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nardeen Boulos Dmd NPPES

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

NARDEEN BOULOS DMD (NPI 1679190342) is an individual dentist in San Jacinto, California, licensed in California (104954) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1679190342
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameNARDEEN BOULOSCredential: DMD
Location Address1695 S SAN JACINTO AVE STE NSan Jacinto, CA 92583-5104
Mailing Address78 Billings AveBeaumont, CA 92223-3127 · (949) 521-9854
Phone(949) 521-9854
Sole ProprietorNo
Enumeration DateJune 29, 2020
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1679190342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 104954
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.
1695 S SAN JACINTO AVE STE N, San Jacinto, CA 92583
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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.

DEEP MUKO DDS, INC.
Dentist
1695 S SAN JACINTO AVE STE N
SAN JACINTO, CA 92583
Riverside County (951) 654-2121

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 Nardeen Boulos's NPI number?

The NPI number for Nardeen Boulos is 1679190342. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Nardeen Boulos located?

Nardeen Boulos practices at 1695 S San Jacinto Ave Ste N, San Jacinto, CA 92583. The listed phone number is (949) 521-9854.

What is Nardeen Boulos's specialty?

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

What insurance does Nardeen Boulos accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Nardeen Boulos 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 Nardeen Boulos was last updated on January 10, 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.