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

George Boukas

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285228197

George Boukas is a Student in an Organized Health Care Education/Training Program in Brecksville, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

4526 Glen Eagle Dr
Brecksville, OH 44141-2934
Phone: (336) 337-8492
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 30.027032 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285228197
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 22, 2021
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023
Mailing address160 E Erie Ave, Philadelphia, PA 19134-1011

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