DONALD FREDERICK BOOTH DMD NPI 1528076932

NPI Information

NPI: 1528076932
Provider Name: DONALD FREDERICK BOOTH, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
100 E NEWTON ST
G407
BOSTON, MA
ZIP 02118
Phone: (617) 638-4350
Get Directions

Donald Frederick Booth, DMD is an oral and maxillofacial surgery dentist in Boston, MA. The provider is an oral and maxillofacial surgery dentist specialized in 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. Donald Frederick Booth, DMD NPI is 1528076932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 E NEWTON ST
G407
BOSTON, MA
ZIP 02118-308
Phone: (617) 638-4350
Fax: (617) 638-4352

The enumeration date for this NPI number is 8/3/2006 and was last updated on 7/8/2007.

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	1223S0112X	Dentist	Oral and Maxillofacial Surgery	9517	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T58505	MEDICARE UPIN
2	X02972	MEDICARE ID-TYPE UNSPECIFIED
3	0203505	MEDICAID	MASSACHUSETTS
4	16396UH	OTHER		HPHC

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

NPI Synchronization or Removal

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