Provider Type Icon

TRUSTEES OF BOSTON UNIVERSITY NPI 1598818122


NPI Information

NPI: 1598818122
Provider Name: TRUSTEES OF BOSTON UNIVERSITY

Doing Business As: BOSTON UNIVERSITY DENTAL HEALTH CENTER - 930 COMMONWEALTH AVE.

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
930 COMMONWEALTH AVE
BOSTON, MA
ZIP 02215
Phone: (617) 358-1000
Get Directions

TRUSTEES OF BOSTON UNIVERSITY is a general practice dentist in Boston, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TRUSTEES OF BOSTON UNIVERSITY NPI is 1598818122. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Boston University Dental Health Center - 930 Commonwealth Ave..

The provider's business location address is:

930 COMMONWEALTH AVE
BOSTON, MA
ZIP 02215-274
Phone: (617) 358-1000
Fax: (617) 358-1010

The provider's authorized official is Jeffrey W Hutter .
The authorized official title is Professor And Dean and has the following contact phone number (617) 638-4780.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 12/3/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics4954MASSACHUSETTSNo
21223P0221XDentistPediatric Dentistry4954MASSACHUSETTSNo
31223P0300XDentistPeriodontics4954MASSACHUSETTSNo
41223P0700XDentistProsthodontics4954MASSACHUSETTSNo
51223S0112XDentistOral and Maxillofacial Surgery4954MASSACHUSETTSNo
61223X0400XDentistOrthodontics and Dentofacial Orthopedics4954MASSACHUSETTSNo
7124Q00000XDental Hygienist4954MASSACHUSETTSNo
8126800000XDental Assistant4954MASSACHUSETTSNo
9126900000XDental Laboratory Technician4954MASSACHUSETTSNo
101223G0001XDentistGeneral Practice4954MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========NOTHERMASSACHUSETTSAMERITAS
2=========NOTHERMASSACHUSETTSDELTA PREMIER
3=========NOTHERMASSACHUSETTSDELTA DENTAL
4=========NOTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
5=========NOTHERMASSACHUSETTSMETLIFE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.