Christian Boliere, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

059879 Issued in NY

Practice address

4 Palisades Dr Ste 205
Albany, NY 12205-1443

Phone

(518) 240-3750

Fax

(518) 240-3759

NPI assigned

Mar 6, 2014

Sex

Male

Sole proprietor

No

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 IL

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

Interoperability endpoints

• Direct secure messaging: cboliere834257@direct.trinity-health.org

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1740606375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PALISADES DR STE 250",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051448",
            "telephone_number": "518-240-3750",
            "fax_number": "518-240-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PALISADES DR STE 205",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051443",
            "telephone_number": "518-240-3750",
            "fax_number": "518-240-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIERE",
        "first_name": "CHRISTIAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-06",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "059879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Lee Boies-Corcoran
• Bolan LLC
• Laura Marie Boland, RPA-C
• Shirley Jean Bolden
• Victoria J. Boley-Jackson, LCSWR
• Catherine Bologna, PT
• Laura Ashley Bolognino, RPH
• Michael Vincent Bolton, CO
• Tracy A Bolton, NP
• Tiffany Bombard, MD

• Oral and Maxillofacial Surgery (Dentist) in Albany, NY
• Providers in Albany, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.