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DR. BROCK CAMERON BOUDREAUX DMD
NPI 1861016966
Dentist - General Practice in Tucson, AZ

Active since June 04, 2020
8401 E 22ND ST, TUCSON, AZ 85710(520) 885-5746 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 3, 2020, Jun 4, 2020 (2 updates tracked since 2020).

About Dr. Brock Cameron Boudreaux Dmd NPPES

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

DR. BROCK CAMERON BOUDREAUX DMD (NPI 1861016966) is an individual general practice provider in Tucson, Arizona, licensed in Arizona (D010791) and active in the NPI registry since June 2020. He maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1861016966
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BROCK CAMERON BOUDREAUXCredential: DMD
Location Address8401 E 22ND STTucson, AZ 85710-6500
Mailing Address8401 E 22nd StTucson, AZ 85710-6500 · (801) 471-5615
Phone(520) 885-5746
Sole ProprietorNo
Enumeration DateJune 4, 2020
Last NPPES UpdateSeptember 3, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
✔ NPI 1861016966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D010791
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.
8401 E 22ND ST, Tucson, AZ 85710
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Secondary Practice Location 1

Location 1899 N Wilmot Rd # 2Tucson, AZ 85711-1714 · Phone (520) 214-4890

Accepted Insurance

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

DR. L DAVIS LEE D.D.S.
Dentist (General Practice)
8401 E 22ND ST
TUCSON, AZ 85710
Pima County (520) 885-5746

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 Brock Boudreaux's NPI number?

The NPI number for Brock Boudreaux is 1861016966. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Brock Boudreaux located?

Brock Boudreaux practices at 8401 E 22nd St, Tucson, AZ 85710. The listed phone number is (520) 885-5746.

What is Brock Boudreaux's specialty?

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

What insurance does Brock Boudreaux accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Arizona and 3 other insurers list Brock Boudreaux 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 Brock Boudreaux was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.