BROOKLINE ENDODONTICS, P.C. (NPI# 1619952215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619952215 |
Entity Type | Organization |
Organization Name | BROOKLINE ENDODONTICS, P.C. |
Other Organization Name | ENDODONTICS |
Practice Address |
1 Brookline Pl Suite 505 Brookline MA 02445-7224 |
Practice Telephone | 6177358500 |
Practice Fax Number | 6177351859 |
Mailing Telephone | 6177358500 |
Mailing Fax Number | 6177351859 |
Enumeration Date | 2005-12-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JOSEPH JOHN WILLIAMS (PRESIDENT) |
Authorized Official Telephone | 6177358500 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BC/BS PROVIDER NUMBER | X11836 | 01 |
Other Name | Type Code |
---|---|
ENDODONTICS | Doing Business As Name - Organization |
Street Address |
1 BROOKLINE PL SUITE 505 |
City | BROOKLINE |
State | MA |
Zip Code | 02445-7224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114925211 | Thomas D Shipp | Obstetrics & Gynecology | 1 Brookline Pl, Suite 506, Brookline, MA 02445-7224 | 2005-07-12 |
1477928125 | Bmfm LLC | Obstetrics & Gynecology | 1 Brookline Pl, Suite 301, Brookline, MA 02445-7224 | 2015-12-07 |
1912396870 | Leonard B Miller Md PC | Specialist | 1 Brookline Pl, Suite 427, Brookline, MA 02445-7224 | 2015-01-15 |
1346641503 | Frank Twarog Md Phd and Curtis Moody Md LLP | Allergy & Immunology | 1 Brookline Pl, Ste 424, Brookline, MA 02445-7224 | 2014-09-08 |
1700213253 | Lauren M Boccuzzi | Nurse Practitioner | 1 Brookline Pl, Suite 327, Brookline, MA 02445-7224 | 2013-09-30 |
1891034492 | Boston Maternal-fetal Medicine, LLC | Clinic/Center | 1 Brookline Pl, Suite 301, Brookline, MA 02445-7224 | 2013-02-04 |
1346588456 | Jacqueline Faye Croopnick, LLC | Obstetrics & Gynecology | 1 Brookline Pl, Suite 423, Brookline, MA 02445-7224 | 2013-01-24 |
1518205632 | Lafornara Inc | Obstetrics & Gynecology | 1 Brookline Pl, Suite 423, Brookline, MA 02445-7224 | 2013-01-24 |
1225383755 | Margaret Mirch Dyer | Nurse Practitioner | 1 Brookline Pl, Suite 327, Brookline, MA 02445 | 2012-07-20 |
1730455494 | Renee Rotman | Nurse Practitioner | 1 Brookline Pl, Suite 305, Brookline, MA 02445-7224 | 2012-03-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
Find all providers in zip 02445 |
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 |
---|---|---|---|---|
1255954178 | Citidental Brookline Pllc | Dentist | 637 Washington St Ste 210, Brookline, MA 02446-4579 | 2020-05-27 |
1154586410 | Diana Paczesny | Dentist | 99 Pond Ave, Apt 708, Brookline, MA 02445-7129 | 2008-07-25 |
1457469264 | Barry Peskin | Dentist | 1682 Beacon St, Barry Peskin Dds, Brookline, MA 02445-2120 | 2006-08-29 |
1164484598 | David Arthur Chernin | Dentist | 284 Harvard St, Brookline, MA 02446-2917 | 2006-04-03 |
1447795141 | Zena Al-adeeb Dmd PC | Dentist | 1540 Beacon St, Brookline, MA 02446-2215 | 2017-01-04 |
1467681502 | Brookline Endodontic Associates, P.C. | Dentist | 1 Brookline Place, Suite 505, Brookline, MA 02445-7233 | 2009-07-10 |
1003012766 | Zachary U Kano | Dentist | 1842 Beacon St, Brookline, MA 02445-1930 | 2007-06-21 |
1417026584 | My Dentist | Dentist | 1297 Beacon St, Brookline, MA 02446-5242 | 2006-11-06 |
1518057520 | Zena Adnan Al Adeeb | Dentist | 1540 Beacon St, Brookline, MA 02446 | 2006-10-13 |
1457469520 | Anne Lukretia Wucherpfennig | Dentist | 1199 Beacon St, Lower Level, Brookline, MA 02446-5352 | 2006-08-28 |
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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.