Boutselis, Nicholas James
Boutselis, Nicholas James is an individual health care provider with primary practice located at 381R Main Street , Tewksbury MA 01876. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boutselis, Nicholas James can be contacted via phone (978) 640-1114.Contact Information
Primary practice address
381R Main Street
Tewksbury MA 01876
Phone: (978) 640-1114
Fax: (978) 640-1117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 18573 | Massachusetts |
Profile Details
| NPI number | 1093961245 |
|---|---|
| LBN Legal business name | Boutselis, Nicholas James |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2008 |
| Last updated | Aug 7th, 2008 - about 17 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.
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