Joseph R. Boulter, D.M.D., M.a.G.D., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOSEPH R. BOULTER, D.M.D., M.A.G.D., P.A.

Practice address

8823 Goodbys Executive Dr
Jacksonville, FL 32217-4691

Phone

(904) 731-0432

Fax

(904) 731-5755

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Robert Boulter, D.M.D.NPI 1053381632

Title

Owner

Phone

(904) 731-0432

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Robert Boulter, DMD

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1053381632
  NPD (past) Authorized official
• Stefan Nicholas Stroh, DMD

  • Student in an Organized Health Care Education/Training Program
  • Gainesville, FL
  • NPI 1851964001
  NPD (past)
• Kevin Christopher Wiman, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1811303183
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1225232176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 GOODBYS EXECUTIVE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174691",
            "telephone_number": "904-731-0432",
            "fax_number": "904-731-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8823 GOODBYS EXECUTIVE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174691",
            "telephone_number": "904-731-0432",
            "fax_number": "904-731-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R. BOULTER, D.M.D., M.A.G.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "BOULTER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-731-0432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph G Chiafair DDS Ms PA
• Joseph L. Sindone, DPM, PA
• Joseph M Barton DMD PA
• Joseph M Millan MD PA
• Joseph R Pattison M D P a
• Aji Joseph, AGPCNP-BC
• Benjamin Joseph Jr., DMD
• Christine Marie Joseph, PA-C
• Christy Mary Joseph, DO
• Claudia Joseph

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.