Liberty Ann Boucher, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6297-15 Issued in WI

Practice address

3320 University Ave
Madison, WI 53705-2137

Phone

(608) 238-8228

NPI assigned

Jul 30, 2008

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Uhd LLC

  dba University Hills Dental

  • General Practice Dentistry
  • Madison, WI
  • NPI 1174974588
  Authorized official Same address or phone

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1114183126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052137",
            "telephone_number": "608-238-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052137",
            "telephone_number": "608-238-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "LIBERTY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6297-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Bothun, DNP, APRN, AGPCNP-BC
• Vanesa LM Botsford, MD
• Emily A Bottiani
• Carin A Bouchard, PHARMD
• Randy John Bouche, RN
• Lindsey L Boucher, CAA
• Jeremy Paul Boudreaux, LCSW
• Michelle Theresa Boudreaux, N.P.
• Shenikqua Bouges, MD
• Lara Skye Boughman, LPC, CSAC

• General Practice Dentistry in Madison, WI
• Providers in Madison, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.