Individual
DR. STANLEY A BOUCREE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
8555 16TH ST, SUITE 404, SILVER SPRING, MD 20910-2816
(301) 585-5900
(301) 585-5901
Mailing address
8555 16TH ST, SUITE 404, SILVER SPRING, MD 20910-2816
(301) 585-5900
(301) 585-5901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN2333
DC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4139
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN2333
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021233500
—
DC
Enumeration date
03/31/2007
Last updated
04/25/2024
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