DENTAL SPECIALTIES OF BROOKLINE NPI 1316200363

NPI Information

NPI: 1316200363
Provider Name: DENTAL SPECIALTIES OF BROOKLINE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1203 BEACON ST STE 1
BROOKLINE, MA
ZIP 02446
Phone: (617) 232-8113
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DENTAL SPECIALTIES OF BROOKLINE is a dental clinic center in Brookline, MA. DENTAL SPECIALTIES OF BROOKLINE NPI is 1316200363. The provider is registered as an organization entity type.

The provider's business location address is:

1203 BEACON ST STE 1
BROOKLINE, MA
ZIP 02446-346
Phone: (617) 232-8113

The provider's authorized official is Hyejin Kwak .
The authorized official title is Director and has the following contact phone number (617) 232-8113.

The enumeration date for this NPI number is 6/24/2012 and was last updated on 6/24/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	21553	MASSACHUSETTS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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