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

Jerry E Bouquot, DDS

Individual provider Anatomic Pathology Physician · NPI 1457494460

Jerry E Bouquot, DDS is a Maxillofacial Surgery in Houston, Texas. Qualified in 1971, 55 years ago. Practices with West Virginia University Dental Corporation, a 5-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
55
Licensed in
TX
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6516 Md Anderson Blvd Rm #3.094F
Houston, TX 77030
Phone: (866) 446-4936
Fax: (713) 450-3988
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

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence 22003 (TX)

Record details

NPI number1457494460
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 15, 2007
Last updated in NPPESJuly 8, 2007
Mailing address6516 Md Anderson Blvd, Rm #3.094f, Houston, TX 77030

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 1971 (55 years in practice)
Group practice West Virginia University Dental Corporation — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Houston