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Dr. Val Russell Boudreau JR.

Oral and Maxillofacial Surgeon

11323 Springfield Pike
Cincinnati , Ohio 45246-4201

Write a Review Save Call QR Code

(513) 326-2022

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Dr. Val Russell Boudreau JR.

Oral and Maxillofacial Surgeon

11323 Springfield Pike
Cincinnati , Ohio 45246-4201

(513) 326-2022

Write a Review Save Call

Dr. Val Russell Boudreau JR.

Oral and Maxillofacial Surgeon

11323 Springfield Pike
Cincinnati , Ohio 45246-4201

(513) 326-2022 Call

Write a Review Save
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Location
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Dr. Val Russell Boudreau JR.
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About

Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral and Maxillofacial Surgeon

Languages spoken

  • English

Location

11323 Springfield Pike Cincinnati , Ohio 45246-4201
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First Address

  • Dr. Val Russell Boudreau JR.
  • 11323 Springfield Pike
  • Cincinnati, OH
  • Zip : 45246-4201
  • Fax : (513) 326-2022
  • Phone : (513) 771-4080

Second Address

  • Dr. Val Russell Boudreau JR.
  • 11323 Springfield Pike
  • Cincinnati, OH
  • Zip : 45246-4201
  • Fax : (513) 326-2022
  • Phone : (513) 771-4080

Reviews

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FAQs

Where did Dr. Val Russell Boudreau JR. attend graduate school?

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Where did Dr. Val Russell Boudreau JR. do his residency?

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Where did Dr. Val Russell Boudreau JR. do his fellowship?

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Is Dr. Val Russell Boudreau JR. board certified?

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What type of doctor is Dr. Val Russell Boudreau JR.

Oral and Maxillofacial Surgeon

In what state does Dr. Val Russell Boudreau JR. practice in?

Ohio

Where is Dr. Val Russell Boudreau JR.’s practice located?

11323 Springfield Pike , Cincinnati, Ohio, 45246-4201

What is Dr. Val Russell Boudreau JR.’s gender?

Male

Is Dr. Val Russell Boudreau JR. a sole practitioner?

No

Is Dr. Val Russell Boudreau JR. accepting new patients?

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What languages does Dr. Val Russell Boudreau JR. speak?

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Does Dr. Val Russell Boudreau JR. accept insurance?

Yes, Dr. Val Russell Boudreau JR. accepts insurance

Does Dr. Val Russell Boudreau JR. offers telemedicine?

Dr. Val Russell Boudreau JR. has not indicated if he offers telemedicine

What is Dr. Val Russell Boudreau JR.’s professional license number?

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What is Dr. Val Russell Boudreau JR.’s NPI number?

1033209028

Does Dr. Val Russell Boudreau JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223S0112X Oral and Maxillofacial Surgeon 20636 OH

National Provider Identifier

NPI 1033209028
Provider Name Dr. Val Russell Boudreau JR.
First Address Cincinnati, OH 45246-4201
Second Address Cincinnati, OH 45246-4201
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 13/10/2006
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
000000381324 ANTHEM MEDICAL (01) OH
U91631 (02) OH

NPI Footnotes

What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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