Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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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
Mailing address36 Chauncy St, Boston, MA 02111-2209

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