Mina Samy Boulos is a Shoreview, Minnesota based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mina Samy Boulos is
D15431 for General Practice Dentistry in Minnesota. His current practice location is
470 Highway 96 W Ste 200, Shoreview. Patients can reach him at
651-366-6880.
Mina Samy Boulos is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mina Samy Boulos speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mina Samy Boulos |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 470 Highway 96 W Ste 200, Shoreview,
Minnesota, 55126-3214 |
| Phone: | 651-366-6880 |
| Fax: | 651-366-6880 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1912837774 |
| NPI Enumeration Date: | 21 May, 2026 |
| NPI Last Update On: | 21 May, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mina Samy Boulos are as mentioned below.
| License Number | Specialization | State | Status | |
| D15431 | General Practice Dentistry | Minnesota | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7702 Narcissus Ln N,
Maple Grove, Minnesota |
| Zip: | 55311-1849 |
Patients can reach Mina Samy Boulos at
470 Highway 96 W Ste 200, Shoreview, Minnesota or can
call to book an appointment on 651-366-6880.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 June, 2026.