Dr. Shadi Boutros, DDS
Dr. Shadi Boutros, DDS is an Oral Surgery in Martinez, California. Graduated from University of Southern California Keck School of Medicine in 2011, 15 years ago. Licensed in California.
- Years since qualifying
- 15
- Trained at
- University of Southern California Keck School of Medicine
- Licensed in
- CA
- In the registry since
- 2007
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.
Practice location Address checks out
2500 Alhambra AveMartinez, CA 94553-3156
Phone: (925) 370-5200
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 54887 (CA) |
|---|
Record details
| NPI number | 1457489239 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS |
| Sole proprietor | No |
| NPI enumerated | March 1, 2007 |
| Last updated in NPPES | May 13, 2015 |
| Mailing address | 2500 Alhambra Ave, Martinez, CA 94553-3156 |
Medicare enrollment
| Medicare specialty | ORAL SURGERY |
|---|---|
| Medical school | UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE |
| Graduated | 2011 (15 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |