TRUSTEES OF TUFTS UNIVERSITY


Address: 1 Kneeland Street, 3rd Floor, Boston, MA 02111
Phone: 6176366669

TRUSTEES OF TUFTS UNIVERSITY (NPI# 1720381064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720381064
Entity Type Organization
Organization Name TRUSTEES OF TUFTS UNIVERSITY
Other Organization Name TUFTS DENTAL FACILITY GPR
Practice Address 1 Kneeland Street
3rd Floor
Boston
MA 02111
Practice Telephone 6176366669
Mailing Telephone 6176366669
Enumeration Date 2010-12-08
Last Update Date 2010-12-08
Authorized Official Name DR. DARREN J DRAG (DIRECTOR OF CLINICAL OPERATIONS)
Authorized Official Telephone 7818996020
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
20040 MA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
TUFTS DENTAL FACILITY GPR Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1508169830 Trustees of Tufts University Clinic/Center 212 Freight Shed Road, Baldwinville, MA 01436 2010-12-08
1740405356 Trustees of Tufts University Clinic/Center 450 Maple St, Hathorne, MA 01937 2007-04-17
1508206012 Trustees of Tufts University Clinic/Center 1275 Elm St, West Springfield, MA 01089-1820 2013-06-28
1144514027 Trustees of Tufts University Clinic/Center 3 Randolph St, Bradford Building, 2nd Floor, Canton, MA 02021-2351 2011-06-08
1467755702 Trustees of Tufts University Clinic/Center 22 Hillside Ave, Groton, MA 01450 2010-12-08
1760608608 Trustees of Tufts University Clinic/Center 175 State Ave, Palmer, MA 01069-1843 2007-04-18
1871719104 Trustees of Tufts University Clinic/Center 200 Trapelo Rd, Waltham, MA 02452-6332 2007-04-17
1295959849 Trustees of Tufts University Clinic/Center 200 Trapelo Rd, Waltham, MA 02452-6332 2007-04-13
1104040757 Trustees of Tufts University Clinic/Center 81 Hope Ave, Worcester, MA 01603-2212 2007-04-13
1679797211 Trustees of Tufts University Clinic/Center 2007 Bay St, Taunton, MA 02780-1086 2007-04-13

Office Location

Street Address 1 KNEELAND STREET
3RD FLOOR
City BOSTON
State MA
Zip Code 02111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831349596 Yumi Ogata Dentist 1 Kneeland Street, Tufts University School of Dental Medicine, Boston, MA 02111 2008-09-30
1265044564 Alhanouf Abdulrahman A Alhussaini Student in an Organized Health Care Education/Training Program 1 Kneeland Street, Boston, MA 02111 2020-08-18
1013535434 Rawaa Araah Alshatti Student in an Organized Health Care Education/Training Program 1 Kneeland Street, Tufts University School of Dental Medicine, 12th Floor, Boston, MA 02111 2020-07-13
1619539889 Nasreen Fuad Akbar Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 12th Floor, Boston, MA 02111 2019-07-08
1912485921 Priyanka Raju Monga Student in an Organized Health Care Education/Training Program 1 Kneeland Street, Boston, MA 02111 2018-08-01
1013493691 Noor Abdulhamid Alqabandi Dentist 1 Kneeland Street, Boston, MA 02111 2018-07-17
1407332059 Reyouf Hamad Alajlan Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 8th Floor, Pediatric Dentistry, Boston, MA 02111 2018-07-17
1235682410 Mohammed Ahmed Alulaiyan Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 8th Floor, Boston, MA 02111 2016-07-25
1982055984 Solafa Ayoub Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 8th Floor Tufts University School of Dental Medicine, Boston, MA 02111 2016-06-30
1689025686 Faisal Dardeer Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 8th Floor, Boston, MA 02111 2016-06-30
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1376032292 Boston Park Dental Group Clinic/Center 128a Tremont St Fl 3, Boston, MA 02108-4716 2018-05-07
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
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Competitor

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City BOSTON
Zip Code 02111

Improve Information

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Dataset Information

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.

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