Boucree, Stanley A
Boucree, Stanley A is an sole proprietor health care provider with primary practice located at 8555 16Th St Suite 404, Silver Spring MD 20910-2816. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Boucree, Stanley A can be contacted via phone (301) 585-5900.Contact Information
Primary practice address
8555 16Th St Suite 404
Silver Spring MD 20910-2816
Phone: (301) 585-5900
Fax: (301) 585-5901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DEN2333 | District of Columbia |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4139 | Maryland |
| Dental Providers / Dentist | 122300000X | DEN2333 | District of Columbia |
Profile Details
| NPI number | 1063532059 |
|---|---|
| LBN Legal business name | Boucree, Stanley A |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2007 |
| Last updated | Apr 25th, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063532059 | NPPES |
| District of Columbia | MEDICAID | 021233500 |
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