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

Fady Boules, DMD

Individual provider Dentist · NPI 1912646134

Fady Boules, DMD is a Dentist in Wentzville, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
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

1600 Wentzville Pkwy Ste 101
Wentzville, MO 63385-3429
Phone: (636) 445-3063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2022019939 (MO)

Record details

NPI number1912646134
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 4, 2022
Last updated in NPPESJune 4, 2022
Certification dateMay 27, 2022
Mailing address1411 Windgate Way Ln, Chesterfield, MO 63005-4496

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