# DR. STANLEY ANTHONY BOUCREE JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962686030
- **Gender:** Man
- **Credential:** DDS, MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 15670 | MD | — |
| 122300000X | Dentist | DEN5938 | DC | — |
| 207P00000X | Emergency Medicine Physician | MD036903 | DC | — |
| 207R00000X | Internal Medicine Physician | D71459 | MD | Yes |

## Other

- **Enumeration date:** 12/24/2007
- **Last updated:** 10/25/2019