Boucher Family Dentistry, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BOUCHER FAMILY DENTISTRY, PLLC

Practice address

340 Lovell St
Ionia, MI 48846-9706

Phone

(616) 527-3050

Fax

(616) 527-3667

NPI assigned

Jun 30, 2022

Last updated

Jun 30, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aaron BoucherNPI 1194819052

Title

Owner

Phone

(616) 527-3050

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron Thomas Boucher, D.D.S.

  • General Practice Dentistry
  • Ionia, MI
  • NPI 1194819052
  NPD Authorized official
• Warren H. Thompson, D.D.S.

  • General Practice Dentistry
  • Ionia, MI
  • NPI 1700885027
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1083346753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488460118",
            "telephone_number": "616-527-3050",
            "fax_number": "616-527-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 LOVELL ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488469706",
            "telephone_number": "616-527-3050",
            "fax_number": "616-527-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUCHER FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-527-3050"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Renee Blodgett, PT
• Bluewater Counseling & Recovery LLC
• Bluewater Family Dental
• Tishana Bolen
• Greg Bos
• Aaron Thomas Boucher, D.D.S.
• Kendra Bouknight
• Laurie Ann Boussom, LMSW
• Sarah Bouwkamp, DDS
• Erica Brainard

• Dental Clinic/Center in Ionia, MI
• Providers in Ionia, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.