DENTAL SPECIALISTS OF BOSTON PC (NPI# 1184148918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184148918 |
| Entity Type | Organization |
| Organization Name | DENTAL SPECIALISTS OF BOSTON PC |
| Practice Address |
396 Commonwealth Avenue Ste 2 Boston MA 02215 |
| Practice Telephone | 6172070000 |
| Mailing Telephone | 6172070000 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | IRAYS SANTA MARIA (PRESIDENT) |
| Authorized Official Telephone | 6172070000 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
D21076 | MA | Dental Providers |
| Street Address |
396 COMMONWEALTH AVENUE STE 2 |
| City | BOSTON |
| State | MA |
| Zip Code | 02215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093925869 | Kenneth Kraft | Psychologist | 396 Commonwealth Avenue, Suite 1, Boston, MA 02215 | 2007-05-23 |
| 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 | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952852063 | Thaisa Barizan Bordin | Dentist | 100 Morton St Apt 50, Boston, MA 02130-3754 | 2016-10-24 |
| 1295113355 | Mission Hill Dental Services | Dentist | 780 Boylston St Apt 3c, Boston, MA 02199-7802 | 2015-05-09 |
| 1528475613 | Smile Design Innovations | Dentist | Oral Design 11 Newbury Street, Smile Design Innovations, Boston, MA 02116 | 2014-07-21 |
| 1457762569 | Julie Ann Mitchell | Dentist | 175 Cambridge St Ste 310, Boston, MA 02114 | 2014-05-12 |
| 1629354964 | Irays Santamaria | Dentist | 396 Commonwealth Ave Ste 103a, Boston, MA 02215-2823 | 2011-11-01 |
| 1952695892 | Chaimongkon Peampring | Dentist | 315 Huntington Ave, #2b, Boston, MA 02115-4444 | 2011-06-08 |
| 1447494521 | Dong-soo Hong | Dentist | 9 Knapp St. #401, Boston, MA 02111 | 2009-04-21 |
| 1831340991 | Waleerat Kaweevisaltrakul | Dentist | 100 E Newton St # G219, Boston, MA 02118-2308 | 2008-10-08 |
| 1639329121 | Bader A Al-awadhi | Dentist | 130 Dartmouth Street #315, Boston, MA 02116 | 2008-09-22 |
| 1710133582 | Pamela Marie Maragliano | Dentist | Lewis Wharf Bay 237, Boston, MA 02110 | 2008-08-13 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on DENTAL SPECIALISTS OF BOSTON PC.
| 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.