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

Joseph Robert Boulter, DMD

Individual provider General Practice Dentistry · NPI 1053381632

Joseph Robert Boulter, DMD is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida and North Carolina. Registered with an NPI since 2006.

Licensed in
FL, NC
In the registry since
2006
Specialties on file
2
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

8823 Goodbys Executive Dr
Jacksonville, FL 32217
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 · Licence 10715 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 5542 (NC)

Record details

NPI number1053381632
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESJuly 13, 2026

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