Boucher, Andrea Lynn

Boucher, Andrea Lynn is an individual health care provider with primary practice located at 1715 Cape Coral Pkwy W , Cape Coral FL 33914-6914. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Boucher, Andrea Lynn can be contacted via phone (239) 214-2470.

Contact Information

Primary practice address
1715 Cape Coral Pkwy W Cape Coral FL 33914-6914
Fax: (239) 540-3883
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN19099 Florida

Profile Details

NPI number 1497067094
LBN Legal business name Boucher, Andrea Lynn
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2010
Last updated Jul 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers