BOSTON PARK DENTAL GROUP (NPI# 1376032292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376032292 |
| Entity Type | Organization |
| Organization Name | BOSTON PARK DENTAL GROUP |
| Practice Address |
128a Tremont St Fl 3 Boston MA 02108-4716 |
| Practice Telephone | 6174821117 |
| Mailing Telephone | 6174821117 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | YONGJEONG KIM (SECRETARY) |
| Authorized Official Telephone | 6174821117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
128A TREMONT ST FL 3 |
| City | BOSTON |
| State | MA |
| Zip Code | 02108-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947954 | Karrin Weisenthal | Emergency Medicine | 1 Boston Pl Rm 1322, Boston, MA 02108 | 2018-03-27 |
| 1619225786 | Ahmed M Hamada-ibrahim | Dentist | 32 Tremont Sytreet, Citidental, Boston, MA 02108 | 2012-08-21 |
| 1114226750 | Richard J Osorio | Counselor | 30 Winter Street, Boston Asap, Boston, MA 02108 | 2011-03-22 |
| 1487956835 | Melissa Jean Leite | Dental Hygienist | 250 Washington Street, Boston, MA 02108 | 2010-11-17 |
| 1518274117 | Ada Stefanescu | Internal Medicine | Mgh Downtown Associates, 294 Washington St Ste 210, Boston, MA 02108 | 2010-09-03 |
| 1679798599 | Lauren Carter Ledbetter | Social Worker | Ten Milk Street, Boston, MA 02108 | 2007-04-16 |
| 1790900157 | Lawrence K Gottlieb | Internal Medicine | Intermed Advisors Inc., One Boston Place, Suite 2815, Boston, MA 02108 | 2007-04-13 |
| 1285761841 | Gerardo A Yanayaco | Internal Medicine | Laser Hair Removal, LLC, 333 Washington Street, #221, Boston, MA 02108 | 2007-02-28 |
| 1295863603 | William F Sullivan | Counselor | Adcare, 14 Beacon Street, 801, Boston, MA 02108 | 2007-02-28 |
| 1659432573 | Madeleine I Littman | Psychologist | 15 Court Square, Suite 830, Boston, MA 02108 | 2006-12-13 |
| Find all providers in zip 02108 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1407465743 | Beacon Dental Health PC | Clinic/Center | 21 Merchants Row Ste 2a, Boston, MA 02109-2040 | 2020-07-22 |
| 1720642143 | Akradi Dental, LLC | Clinic/Center | 21 Bay State Rd # 3, Boston, MA 02215-2101 | 2019-05-01 |
| 1124595111 | Bespoke Dental Boston | Clinic/Center | 11 Newbury St Fl 4, Boston, MA 02116-3138 | 2018-10-28 |
| 1851871081 | Boston Premier Dentistry, PC | Clinic/Center | 10 Tremont St Ste 402, Boston, MA 02108-2062 | 2018-08-16 |
| 1447752563 | Kristen Choe Dority, Dmd, PC | Clinic/Center | 37 Newbury St Ste 3, Boston, MA 02116-3428 | 2018-03-05 |
| 1639682305 | Boston Dental Partners LLC | Clinic/Center | 330 Martin Luther King Blvd, Boston, MA 02119-1868 | 2017-11-15 |
| 1831619469 | Levy Family Dental LLC | Clinic/Center | 185 Devonshire St Ste 410, Boston, MA 02110-1413 | 2017-06-24 |
| 1811417603 | Trinity Dental Pllc | Clinic/Center | 1 Huntington Ave Unit B, Boston, MA 02116-5713 | 2017-06-22 |
| 1710347190 | Day Square Dental LLP | Clinic/Center | 371 Chelsea St, Boston, MA 02128-1480 | 2016-02-29 |
| 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.