Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Joseph R. Boulter, DMD, M.a.g.d., PA

Organization General Practice Dentistry · NPI 1225232176

Joseph R. Boulter, DMD, M.a.g.d., PA provides General Practice Dentistry in Jacksonville, Florida. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8823 Goodbys Executive Dr
Jacksonville, FL 32217-4691 Not confirmed with CMS for 14 years — call before visiting
Phone: (904) 731-0432
Fax: (904) 731-5755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1225232176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Boulter — Owner · (904) 731-0432
NPI enumeratedJune 13, 2007
Last updated in NPPESFebruary 29, 2012
Mailing address8823 Goodbys Executive Dr, Jacksonville, FL 32217-4691

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