Boulevard Dental Citrus Park, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BOULEVARD DENTAL CITRUS PARK, LLC

Practice address

8325 Gunn Hwy
Tampa, FL 33626-1608

Phone

(813) 413-7758

NPI assigned

Jul 17, 2025

Organization subpart

No

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

Authorized official

Name

Chris Wujick, DMD

Title

Owner

Phone

(352) 262-5220

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.

• Grace Ishak, DMD

  • Dentist
  • Tampa, FL
  • NPI 1750123345
  NPD (past)
• Joel Wayne Reinhart, DMD

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1033208392
  NPD (past)

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1225920853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261608",
            "telephone_number": "813-413-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261608",
            "telephone_number": "813-413-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD DENTAL CITRUS PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "WUJICK",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-262-5220",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willdith Niana Boue
• Alaa Boulad, M.D.
• Sandnes Smith Boulanger, LCSW
• Sheryllyn Boulay, PA-C
• Christina Boulding, LCSW
• Alice Mendez Boullosa, M.S.W., L.M.F.T.
• Eriny Boulos, DMD
• Christina S Bourbon, CCC-SLP
• Ryan Matthew Bourdeau, BA
• Katelyn Frances Bourgoin, MS CFSLP

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, 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 Jul 27, 2026; 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.