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

Audra Alexandra Boehm

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1811452303

Audra Alexandra Boehm is an Oral Surgery in Silverdale, Washington. Graduated from Columbia University College of Dental Medicine in 2019, 7 years ago. Licensed in Washington.

Years since qualifying
7
Trained at
Columbia University College of Dental Medicine
Licensed in
WA
In the registry since
2019
Specialties on file
3

Practice location Address checks out

8745 Pacific Ave NW # 102
Silverdale, WA 98383-8394
Phone: (602) 045-1223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence MD61663011 (WA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DE61663002 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811452303
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 8, 2019
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF DENTAL MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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