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

Petra Nihad Boutros, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427636273

Petra Nihad Boutros, DMD is a Student in an Organized Health Care Education/Training Program in Columbus, Ohio. Works from 2 locations. Licensed in Ohio.

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

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

305 W 12th Ave
Columbus, OH 43210-1267
Phone: (614) 688-3763
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 5370 Birkdale St Nw, Canton, OH 44708-1872 — (330) 316-9731

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence RES.004349 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427636273
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022

Other providers in Columbus