Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Fred G. Boustany, DMD

Individual provider Dentist · NPI 1568527331

Dr. Fred G. Boustany, DMD is a Dentist in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

36 Chauncy St
Boston, MA 02111-2209
Phone: (617) 338-5000
Fax: (617) 338-1039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 15733 (MA)

Record details

NPI number1568527331
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedDecember 22, 2006
Last updated in NPPESJuly 8, 2007

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