Search › Indiana › 207R00000X
Mark Boutros, M.D
NPI 1700992674 · on the registry since 2006
Practice
- Address
- 4200 S East St
Indianapolis, IN 46227 - Phone
- (317) 991-7600
- Fax
- (317) 215-7038
- Organisation at this address
- Comdent, Pc
Svs Vision Inc
National Vision, Inc.
Great Smile Dental PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 301 Tyson Ave, Paris, TN
- 1787 Allendale Fairfax Hwy, Fairfax, SC
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
207R00000X
207R00000X - Licence states on file
- IN, TN, VA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana