TRUSTEES OF BOSTON UNIVERSITY (NPI# 1053757245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053757245 |
Entity Type | Organization |
Organization Name | TRUSTEES OF BOSTON UNIVERSITY |
Other Organization Name | BU ORAL SURGERY GROUP PRACTICE |
Practice Address |
110 Francis St Boston MA 02215-5501 |
Mailing Address |
100 E Newton St Suite G407 Boston MA 02118-2308 |
Practice Telephone | 6176384350 |
Practice Fax Number | 6176384365 |
Mailing Telephone | 6176384350 |
Mailing Fax Number | 6176384365 |
Enumeration Date | 2013-05-15 |
Last Update Date | 2013-05-15 |
Authorized Official Name | JEFFREY W HUTTER (DEAN) |
Authorized Official Telephone | 6176384780 |
Is Organization Subpart | Y |
Parent Organization Name | TRUSTEES OF BOSTON UNIVERSITY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110009488C | 05 |
Other Name | Type Code |
---|---|
BU ORAL SURGERY GROUP PRACTICE | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013242239 | Trustees of Boston University | Nutritionist | 635 Commonwealth Ave., 6th Floor, Boston, MA 02215-1605 | 2009-10-06 |
1174701189 | Trustees of Boston University | Clinical Medical Laboratory | 24 Cummington St, Room 724, Boston, MA 02215-2425 | 2008-02-01 |
1053419598 | Trustees of Boston University | Clinic/Center | 185 Bay State Rd, Boston, MA 02215-1506 | 2006-09-20 |
1265419568 | Trustees of Boston University | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2005-12-28 |
1578909750 | Trustees of Boston University | Dentist | 840 Harrison Ave, Boston, MA 02118-2905 | 2013-05-15 |
1326483074 | Trustees of Boston University | Dentist | 725 Albany St, Boston, MA 02118-2526 | 2013-05-08 |
1821221524 | Trustees of Boston University | Dentist | 850 Harrison Ave, 5th Floor, Boston, MA 02118-4001 | 2009-08-27 |
1720211428 | Trustees of Boston University | Dentist | 30 Warren St, Boston, MA 02135-3602 | 2009-08-27 |
1043443732 | Trustees of Boston University | Dentist | 88 E Newton St, Boston, MA 02118-2308 | 2009-08-27 |
1285867986 | Trustees of Boston University | Dentist | 830 Harrison Ave, Boston, MA 02118-2905 | 2009-08-27 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Trustees of Boston University | One Silber Way, Boston, Massachusetts 02215 |
Iowa Business Entities | TRUSTEES OF BOSTON UNIVERSITY | One Silber Way, Boston, MA 02215 |
Massachusetts Corporations | TRUSTEES OF BOSTON UNIVERSITY | One Silber Way, Boston, MA 02215 |
Washington State Corporations | TRUSTEES OF BOSTON UNIVERSITY | One Silber Way, Boston, MA 02215 |
Colorado Business Entities | Trustees of Boston University | One Silber Way, Boston, MA 02215 |
Oklahoma Business Registrations | TRUSTEES OF BOSTON UNIVERSITY | Attn: Todd Klipp, General Counsel, Boston University, One Silber Way, Boston, MA 02215 |
Street Address |
110 FRANCIS ST |
City | BOSTON |
State | MA |
Zip Code | 02215-5501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982601373 | Richard Ian Whyte | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 110 Francis St, Ste 9f, Boston, MA 02215-5501 | 2005-06-30 |
1811515430 | Josephine Christer Mattsson | Nurse Practitioner | 110 Francis St, Boston, MA 02215-5501 | 2020-07-09 |
1659908010 | Kimberley Noij | Student in an Organized Health Care Education/Training Program | 110 Francis St, Boston, MA 02215-5501 | 2020-03-25 |
1619454733 | Kirstyn James | Internal Medicine | 110 Francis St, Boston, MA 02215-5501 | 2018-07-21 |
1609366814 | Maureen Doherty | Social Worker | 110 Francis St, Boston, MA 02215-5501 | 2018-05-14 |
1114433323 | Thao L Costanza | Nurse Practitioner | 110 Francis St, Boston, MA 02215-5501 | 2017-12-26 |
1427560184 | Alison Corbin | Nurse Practitioner | 110 Francis St, Boston, MA 02215-5501 | 2017-11-02 |
1124557368 | Melanie Catherine Rotty | Registered Nurse | 110 Francis St, Boston, MA 02215-5501 | 2017-06-10 |
1104379015 | Tiffany Berman | Audiologist | 110 Francis St, Boston, MA 02215-5501 | 2016-07-27 |
1467905406 | Abdulrahman Alturki | Student in an Organized Health Care Education/Training Program | 110 Francis St, Suite 3b, Boston, MA 02215-5501 | 2016-07-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
Find all providers in zip 02215 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528592029 | Jaegak Kim | Dentist | 850 Harrison Ave Fl 6, Boston, MA 02118-4001 | 2017-04-12 |
1053750893 | Allan Wun | Dentist | 1 Kneeland St., 5th Floor/ Dhs 503, Boston, MA 02111 | 2013-06-14 |
1609189018 | Stavros Oikonomou | Dentist | 660 Washington St Apt 25g, Boston, MA 02111-3243 | 2010-07-15 |
1073825352 | Cristobal Alberto Quevedo | Dentist | 761 Harrison Ave Apt 205, Boston, MA 02118-2362 | 2010-07-02 |
1740591080 | Ahmad Ali Alshadwi | Dentist | 850 Harrison Ave Fl Acc5, Boston Medical Center Oral Surgery Department, Boston, MA 02118-4001 | 2010-07-01 |
1437390481 | Behzad Mostoufi | Dentist | 820 Harrison Ave # Acc5, Boston, MA 02118-2905 | 2009-03-19 |
1396991089 | Jennifer E. Smith-williams, D.m.d. | Dentist | 575 Boylston St Fl 5, Boston, MA 02116-3607 | 2008-08-13 |
1497923791 | Mario S Lucca | Dentist | 185 Dartmouth St Ste 403, Boston, MA 02116-5883 | 2008-02-20 |
1225228422 | Steven John Scrivani | Dentist | One Kneeland Street, Suite 601, Boston, MA 02111 | 2007-07-25 |
1215138672 | Constantinos Laskarides | Dentist | 1 Kneeland St Rm 503, Boston, MA 02111-1527 | 2007-05-31 |
Find all providers in BOSTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.