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LONGWOOD DENTAL GROUP NPI 1033233713


NPI Information

NPI: 1033233713
Provider Name: LONGWOOD DENTAL GROUP
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
1842 BEACON ST
BROOKLINE, MA
ZIP 02445
Phone: (617) 566-5445
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LONGWOOD DENTAL GROUP is a dentist in Brookline, MA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. LONGWOOD DENTAL GROUP NPI is 1033233713. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1842 BEACON ST
BROOKLINE, MA
ZIP 02445-930
Phone: (617) 566-5445
Fax: (617) 730-8482

The provider's authorized official is Berdj Kiladjian .
The authorized official title is Owner and has the following contact phone number (617) 566-5445.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistMASSACHUSETTSYes
21223E0200XDentistEndodonticsMASSACHUSETTSX
31223P0106XDentistOral and Maxillofacial PathologyMASSACHUSETTSX
41223P0300XDentistPeriodonticsMASSACHUSETTSX
51223P0700XDentistProsthodonticsX
6124Q00000XDental HygienistMASSACHUSETTSX
7126800000XDental AssistantMASSACHUSETTSX
8126900000XDental Laboratory TechnicianMASSACHUSETTSX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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