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

Mina Samy Boulos, DDS

Individual provider General Practice Dentistry · NPI 1912837774

Mina Samy Boulos, DDS is a General Practice Dentistry in Shoreview, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2026
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 →

Practice location Address checks out

470 Highway 96 W Ste 200
Shoreview, MN 55126-3214
Phone: (651) 366-6880
Fax: (651) 366-6880
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D15431 (MN)

Record details

NPI number1912837774
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 21, 2026
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address7702 Narcissus Ln N, Maple Grove, MN 55311-1849

Other providers in Shoreview