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

Dr. Carlos Bou Assi, DMD

Individual provider Dentist · NPI 1699874453

Dr. Carlos Bou Assi, DMD is a Dentist in Fort Drum, New York. Licensed in Massachusetts, New Hampshire and New Jersey. Registered with an NPI since 2006.

Licensed in
MA, NH, NJ
In the registry since
2006
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

10590 Enduring Freedom Dr
Fort Drum, NY 13602-5005
Phone: (315) 772-6234
Fax: (315) 774-3558
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22DI02299200 (NJ)
Dentist Taxonomy 122300000X · Licence 03622 (NH)
Dentist Taxonomy 122300000X · Licence 21826 (MA)

Record details

NPI number1699874453
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESApril 9, 2015
Mailing address10590 Enduring Freedom Drive, Fort Drum, NY 13602-5005

Other providers in Fort Drum