BEACON PLACE DENTAL GROUP NPI 1578584413

NPI Information

BEACON PLACE DENTAL GROUP is a prosthodontics dentist in Brookline, MA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. BEACON PLACE DENTAL GROUP NPI is 1578584413. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1371 BEACON ST
BROOKLINE, MA
ZIP 02446
Phone: (617) 738-0700
Fax: (617) 738-0877

The provider's authorized official is William Papadopoulos .
The authorized official title is Dentist Owner and has the following contact phone number (617) 738-0700.

The CLIA number assigned to this NPI record is 22D2190874 - other - dental with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 7/1/2008.

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:

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