Dr Judy Andrea Boutros, DDS - Dentist in Ottawa Hills, OH

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Dr Judy Andrea Boutros, DDS is a Dentist - Endodontics based in Ottawa Hills, Ohio. Dr Judy Andrea Boutros is licensed to practice in Ohio (license number 30021105) and her current practice location is 4210 W Central Ave, Ottawa Hills, Ohio. She can be reached at her office (for appointments etc.) via phone at (567) 389-8889.

NPI number for Dr Judy Andrea Boutros is 1417152125 and her current mailing address is 6455 Monroe St Apt 309, Sylvania, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417152125.

Contact Information

Dr Judy Andrea Boutros, DDS
4210 W Central Ave,
Ottawa Hills, OH 43606-2270
(567) 389-8889
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Judy Andrea Boutros
GenderFemale
SpecialityDentist - Endodontics
Location4210 W Central Ave, Ottawa Hills, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417152125
  • Provider Enumeration Date: 06/21/2007
  • Last Update Date: 08/02/2026

Medical Identifiers

Medical identifiers for Dr Judy Andrea Boutros such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417152125NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics 30021105 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Judy Andrea Boutros is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Judy Andrea Boutros, DDS
6455 Monroe St Apt 309,
Sylvania, OH 43560-1479

Ph: (419) 206-9289		Dr Judy Andrea Boutros, DDS
4210 W Central Ave,
Ottawa Hills, OH 43606-2270

Ph: (567) 389-8889

Reviews and Comments


Dentist in Ottawa Hills, OH

Kenneth Brochin, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4210 W Central Ave, Ottawa Hills, OH 43606
Phone: 419-535-1066    Fax: 419-535-1379

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.