TRUSTEES OF BOSTON UNIVERSITY (NPI# 1720211428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720211428 |
| Entity Type | Organization |
| Organization Name | TRUSTEES OF BOSTON UNIVERSITY |
| Other Organization Name | BU ORAL SURGERY GROUP PRACTICE |
| Practice Address |
30 Warren St Boston MA 02135-3602 |
| Mailing Address |
100 E Newton St Rm G317 Boston MA 02118-2308 |
| Practice Telephone | 8663901815 |
| Practice Fax Number | 6176384490 |
| Mailing Telephone | 6176385932 |
| Mailing Fax Number | 6176384490 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |
| Authorized Official Name | DR. JEFFREY W HUTTER (DEAN) |
| Authorized Official Telephone | 6176384780 |
| Authorized Official Credential | D.M.D., M.ED |
| Is Organization Subpart | Y |
| Parent Organization Name | TRUSTEES OF BOSTON UNIVERSITY HENRY M. GOLDMAN SCHOOL OF DENTAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4954 | MA | Dental Providers |
| Other Name | Type Code |
|---|---|
| BU Oral Surgery Group Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013242239 | Trustees of Boston University | Nutritionist | 635 Commonwealth Ave., 6th Floor, Boston, MA 02215-1605 | 2009-10-06 |
| 1174701189 | Trustees of Boston University | Clinical Medical Laboratory | 24 Cummington St, Room 724, Boston, MA 02215-2425 | 2008-02-01 |
| 1053419598 | Trustees of Boston University | Clinic/Center | 185 Bay State Rd, Boston, MA 02215-1506 | 2006-09-20 |
| 1265419568 | Trustees of Boston University | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2005-12-28 |
| 1578909750 | Trustees of Boston University | Dentist | 840 Harrison Ave, Boston, MA 02118-2905 | 2013-05-15 |
| 1053757245 | Trustees of Boston University | Dentist | 110 Francis St, Boston, MA 02215-5501 | 2013-05-15 |
| 1326483074 | Trustees of Boston University | Dentist | 725 Albany St, Boston, MA 02118-2526 | 2013-05-08 |
| 1821221524 | Trustees of Boston University | Dentist | 850 Harrison Ave, 5th Floor, Boston, MA 02118-4001 | 2009-08-27 |
| 1043443732 | Trustees of Boston University | Dentist | 88 E Newton St, Boston, MA 02118-2308 | 2009-08-27 |
| 1285867986 | Trustees of Boston University | Dentist | 830 Harrison Ave, Boston, MA 02118-2905 | 2009-08-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Trustees of Boston University | One Silber Way, Boston, Massachusetts 02215 |
| Iowa Business Entities | TRUSTEES OF BOSTON UNIVERSITY | One Silber Way, Boston, MA 02215 |
| Massachusetts Corporations | TRUSTEES OF BOSTON UNIVERSITY | One Silber Way, Boston, MA 02215 |
| Washington State Corporations | TRUSTEES OF BOSTON UNIVERSITY | One Silber Way, Boston, MA 02215 |
| Colorado Business Entities | Trustees of Boston University | One Silber Way, Boston, MA 02215 |
| Oklahoma Business Registrations | TRUSTEES OF BOSTON UNIVERSITY | Attn: Todd Klipp, General Counsel, Boston University, One Silber Way, Boston, MA 02215 |
| Street Address |
30 WARREN ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02135-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721798 | Nancy Tran | Occupational Therapist | 30 Warren St, Boston, MA 02135-3602 | 2019-07-09 |
| 1952878399 | Anne Hannan | Social Worker | 30 Warren St, Boston, MA 02135-3602 | 2018-10-24 |
| 1265911390 | Lauren Sterlin | Physical Therapist | 30 Warren St, Boston, MA 02135-3602 | 2018-08-09 |
| 1104345073 | Kathleen S Holte | Student in an Organized Health Care Education/Training Program | 30 Warren St, Boston, MA 02135-3602 | 2017-09-12 |
| 1972022077 | Megan Ahnen | Student in an Organized Health Care Education/Training Program | 30 Warren St, Boston, MA 02135-3602 | 2017-09-11 |
| 1801314463 | Katherine Jordan | Counselor | 30 Warren St, Boston, MA 02135 | 2017-09-05 |
| 1134646334 | Sarah Williams | Occupational Therapist | 30 Warren St, Boston, MA 02135-3602 | 2017-08-28 |
| 1467909671 | Jordan Constance | Psychologist | 30 Warren St, Boston, MA 02135-3602 | 2016-09-06 |
| 1972972081 | Olivia Tosi | Student in an Organized Health Care Education/Training Program | 30 Warren St, Boston, MA 02135-3602 | 2015-09-18 |
| 1033585898 | Marcela Teresa Donat | Physical Therapist | 30 Warren St, Boston, MA 02135-3602 | 2015-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528592029 | Jaegak Kim | Dentist | 850 Harrison Ave Fl 6, Boston, MA 02118-4001 | 2017-04-12 |
| 1053750893 | Allan Wun | Dentist | 1 Kneeland St., 5th Floor/ Dhs 503, Boston, MA 02111 | 2013-06-14 |
| 1609189018 | Stavros Oikonomou | Dentist | 660 Washington St Apt 25g, Boston, MA 02111-3243 | 2010-07-15 |
| 1073825352 | Cristobal Alberto Quevedo | Dentist | 761 Harrison Ave Apt 205, Boston, MA 02118-2362 | 2010-07-02 |
| 1740591080 | Ahmad Ali Alshadwi | Dentist | 850 Harrison Ave Fl Acc5, Boston Medical Center Oral Surgery Department, Boston, MA 02118-4001 | 2010-07-01 |
| 1437390481 | Behzad Mostoufi | Dentist | 820 Harrison Ave # Acc5, Boston, MA 02118-2905 | 2009-03-19 |
| 1396991089 | Jennifer E. Smith-williams, D.m.d. | Dentist | 575 Boylston St Fl 5, Boston, MA 02116-3607 | 2008-08-13 |
| 1497923791 | Mario S Lucca | Dentist | 185 Dartmouth St Ste 403, Boston, MA 02116-5883 | 2008-02-20 |
| 1225228422 | Steven John Scrivani | Dentist | One Kneeland Street, Suite 601, Boston, MA 02111 | 2007-07-25 |
| 1215138672 | Constantinos Laskarides | Dentist | 1 Kneeland St Rm 503, Boston, MA 02111-1527 | 2007-05-31 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on TRUSTEES OF BOSTON UNIVERSITY.
| 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.