Provider Demographics
NPI:1063104891
Name:BOULAY, ALEXANDER NAPOLEON
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:NAPOLEON
Last Name:BOULAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 FINDON CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-6120
Mailing Address - Country:US
Mailing Address - Phone:615-856-5066
Mailing Address - Fax:
Practice Address - Street 1:1009 MURFREESBORO PIKE STE 101
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-1511
Practice Address - Country:US
Practice Address - Phone:615-857-9596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN12877122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program