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

Dr. Samy Wasfy Boulos, DDS

Individual provider General Practice Dentistry · NPI 1275775348

Dr. Samy Wasfy Boulos, DDS is a General Practice Dentistry in Shoreview, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2009
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

470 Highway 96 W Ste 200
Shoreview, MN 55126-3214
Phone: (651) 366-6880
Fax: (651) 366-6881
Show map & directions

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

Additional practice locations (1)

  • 14000 Northdale Blvd Ste J, Rogers, MN 55374-4663 — (763) 428-2300

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D12329 (MN)

Record details

NPI number1275775348
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 3, 2009
Last updated in NPPESFebruary 14, 2019
Mailing address470 Highway 96 W Ste 200, Shoreview, MN 55126-3214

Other providers in Shoreview