Samy Wasfy Boulos, DDS
General Practice Dentistry · Shoreview, MN
Samy Wasfy Boulos, DDS is a general practice dentistry with a practice address in Shoreview, Minnesota, and NPI 1275775348, issued on Apr 3, 2009. Check the license (Minnesota D12329, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Samy Wasfy Boulos
- Credential
- DDS
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License number
- D12329 MN
Self-reported in NPPES; status is on the state search - Practice location
- 470 Highway 96 W Ste 200, Shoreview, MN 55126
- Phone
- (651) 366-6880
- Enumerated
- Apr 3, 2009
- Record last updated
- Feb 14, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (651) 366-6881
- Entity
- Type 1 · individual
8 nearest general practice dentistry records → All 2,177 in Minnesota → Look up another NPI →
Also registered at 470 Highway 96 W Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mina Boulos, DDSGeneral Practice Dentistry1912837774
Verify Samy Wasfy Boulos in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license D12329Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.0 times the Medicare Part D claims of the average general practice dentistry in 2024
167 Medicare Part D claims for 77 beneficiaries, against an average of 83 among the 70,290 providers of this specialty who prescribed in Part D. 34 claims were for opioids.
Most prescribed
- Amoxicillin60 claims
- Acetaminophen-Codeine31 claims
- Dexamethasone23 claims
- Amoxicillin-Clavulanate Potass18 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $104.50
4 payments; by number, the most common kind was food and beverage; the largest payer was Dentsply Sirona Inc. The 41,669 providers of this specialty with any payment received $597.01 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Samy Wasfy Boulos among 2,177 general practice dentistry records in Minnesota
Samy Wasfy Boulos, DDS is one of 2,177 general practice dentistry records with a practice address in Minnesota. 58% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 67% of them.
- NPI issued2009 · 67% of these records are older, 31% newer
- In a Medicare fileYes · 58% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2019 · 73% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
13 general practice dentistry records list a practice address in Shoreview
They are 13 of the 397 NPPES records with a practice address in Shoreview, and 2,177 general practice dentistry records in Minnesota.
All 2,177 in Minnesota → Every provider in Shoreview → General Practice Dentistry nationwide →
The 8 general practice dentistry records with the nearest ZIP codes
- Mike Enz, DDSShoreview, MN 551261821178583
- Daniel Fama, DDSShoreview, MN 551261629695051
- Mitchell Haberman, DDSSaint Paul, MN 551261710723234
- David Johnson, D.D.S.Shoreview, MN 551261174685671
- Michael Kurkowski, DDSSt Paul, MN 551261104823681
- Mark LeganShoreview, MN 551261013281302
- Sarah Melstrom, D.D.S.Shoreview, MN 551261952463457
- Jeffrey Norsted, D.D.S.Shoreview, MN 551261376605865
Common questions
What is Samy Wasfy Boulos, DDS's NPI number?
Samy Wasfy Boulos, DDS's National Provider Identifier (NPI) is 1275775348, issued on Apr 3, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Samy Wasfy Boulos, DDS located?
The NPPES record lists a practice address at 470 Highway 96 W Ste 200, Shoreview, MN, 55126. Phone: (651) 366-6880. Providers update this record themselves, so call before visiting.
How can I verify Samy Wasfy Boulos, DDS's license?
NPPES lists Minnesota license number D12329, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
How much does Samy Wasfy Boulos, DDS prescribe under Medicare Part D?
In 2024, Samy Wasfy Boulos, DDS had 167 Medicare Part D claims for 77 beneficiaries; the average among general practice dentistry prescribers was 83. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.