BOSTON ENDODONTICS (NPI# 1386061240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386061240 |
| Entity Type | Organization |
| Organization Name | BOSTON ENDODONTICS |
| Practice Address |
5 Longfellow Pl Suite 205 Boston MA 02114-2839 |
| Practice Telephone | 6177423525 |
| Mailing Telephone | 6177423525 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | DR. TIMOTHY M GABE (PRESIDENT) |
| Authorized Official Telephone | 6177423525 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
15626 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942218706 | Boston Endodontics | Dentist | 5 Longfellow Pl, Ste 205, Boston, MA 02114-2839 | 2006-08-04 |
| Street Address |
5 LONGFELLOW PL SUITE 205 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659361103 | Scott Numo Wilson | Psychiatry & Neurology | 5 Longfellow Pl, Suite 213, Boston, MA 02114-2839 | 2005-10-26 |
| 1073652566 | Winston C Hughes | Psychiatry & Neurology | 5 Longfellow Pl, Suite 209, Boston, MA 02114-2839 | 2007-02-05 |
| 1144380924 | Holly Humphreys | Social Worker | 5 Longfellow Pl, Suite # 209, Boston, MA 02114-2839 | 2006-12-11 |
| 1942218706 | Boston Endodontics | Dentist | 5 Longfellow Pl, Ste 205, Boston, MA 02114-2839 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464603 | Thabet Housami | Dentist | 635 Albany Street G-201, Boston, MA 02118-2392 | 2020-10-12 |
| 1720561459 | Omar Alkhattab | Dentist | 72 E Concord St Rm 318, Boston, MA 02118-2307 | 2018-09-10 |
| 1194151118 | Marielena Gamboa-ruiz | Dentist | 1 Kneeland St Fl 11, Boston, MA 02111-1527 | 2013-09-23 |
| 1407282999 | Ramipal S Khurana | Dentist | 100 E Newton St # G202, Boston, MA 02118-2308 | 2013-09-17 |
| 1336575828 | Hsiao-ying Candice Yang | Dentist | 100 E Newton St # G-202, Boston, MA 02118-2308 | 2013-09-17 |
| 1710239918 | Roshanak Baghai Naini | Dentist | 100 East Newton, Boston University School of Dental Medicine, Boston, MA 02118 | 2012-10-11 |
| 1992055776 | Ashraf Abd-elmeguid | Dentist | 100 East Newton St, Boston, MA 02118 | 2012-09-19 |
| 1679887434 | Michael Pauk | Dentist | 100 E Newton St # 705, Boston University Goldman School of Dental Medicine, Boston, MA 02118-2308 | 2010-08-03 |
| 1780890681 | Jyotika Tucker | Dentist | 1356 Boston Road, Boston, MA 01103 | 2007-05-15 |
| 1386798874 | Barry J Goldberg | Dentist | 800 Boylston St Ste 200, Boston, MA 02199-8176 | 2007-01-22 |
| 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.