KAMAR BALOUL P.C. (NPI# 1518116482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518116482 |
| Entity Type | Organization |
| Organization Name | KAMAR BALOUL P.C. |
| Practice Address |
177 Tremont St #6 Boston MA 02111-1020 |
| Mailing Address |
Po Box 991013 Boston MA 02199-1013 |
| Practice Telephone | 6177178618 |
| Mailing Telephone | 6177178618 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |
| Authorized Official Name | DR. KAMAR MARIA BALOUL (DENTIST) |
| Authorized Official Telephone | 6177178618 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
20603 | MA | Dental Providers |
| Street Address |
177 TREMONT ST #6 |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598742462 | Eileen Pappalardo | Nurse Practitioner | 177 Tremont St, Suite 5, Boston, MA 02111-1020 | 2005-12-30 |
| 1427346568 | Beacon Groups Healthcare,llc | Family Medicine | 177 Tremont St, Suite 5, Boston, MA 02111-1020 | 2011-07-11 |
| 1508882978 | Ernest Yazigi | Dentist | 177 Tremont St, 6th Floor, Boston, MA 02111-1020 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1215575311 | Martha Forero | Dentist | 1 Kneeland St Fl 15, Boston, MA 02111-1527 | 2019-12-19 |
| 1730660903 | Matthew Brian Harper | Dentist | 300 Longwood Ave Fl 4, Boston, MA 02115-5724 | 2018-08-27 |
| 1700387453 | Dorchester Pediatric Dentistry and Orthodontics, PC | Dentist | 1192 Blue Hill Ave Unit 1192, Boston, MA 02126-1819 | 2018-02-27 |
| 1710487079 | Huw F Thomas | Dentist | 1 Kneeland St Rm 749, Boston, MA 02111-1527 | 2018-02-13 |
| 1023539269 | Altan Kihm | Dentist | 1 Keeland St, Boston, MA 02111 | 2017-06-28 |
| 1902287915 | Nour Gowharji | Dentist | 1 Kneeland Street, Tufts School of Dental Medicine., 8th Floor, Room 842, Boston, MA 02111 | 2015-06-16 |
| 1063824464 | Maria Al Ismail | Dentist | 635 Albany St, Boston, MA 02118-2308 | 2014-05-20 |
| 1225449341 | Sara Ahmed | Dentist | 300 Longwood Ave Dental Department, Boston, MA 02115 | 2014-05-12 |
| 1952731549 | Boston University Henry M. Goldman School of Dental Medicine | Dentist | 100 E Newton St # G-200, Boston, MA 02118-2308 | 2013-11-18 |
| 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.