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

Dr. Shelli Boucher, DMD

Individual provider General Practice Dentistry · NPI 1356773691

Dr. Shelli Boucher, DMD is a General Practice Dentistry in Indian Trail, North Carolina. Practices as a sole proprietor. Licensed in North Carolina, South Carolina and Virginia.

Licensed in
NC, SC, VA
In the registry since
2013
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

185 Marron Dr
Indian Trail, NC 28079-4510
Phone: (860) 428-7204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 11538 (NC)
General Practice Dentistry Taxonomy 1223G0001X · Licence 0442000192 (VA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 8871 (SC)

Record details

NPI number1356773691
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 8, 2013
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing address185 Marron Dr, Indian Trail, NC 28079-4510

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