Boulos Dental Care, P.C.
NPI 1023308392ActiveOrganization· Exclusive Provider Organization· Shoreview, MN
Exclusive Provider Organization in Shoreview, Minnesota, registered in NPPES in April 2011. The authorized official on file is Samy Wasfy Yousef Boulos, Dentist (Dds).
Overview
| NPI | 1023308392 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 7, 2011 |
| Last updated in NPPES | Apr 7, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 12329 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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