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