LONGWOOD DENTAL GROUP NPI 1033233713

NPI Information

  • NPI: 1033233713
  • Provider Name: LONGWOOD DENTAL GROUP
  • Classification: Dental Laboratory Technician - 126900000X
  • Entity Type: Organization
  • Address: 1842 BEACON ST
    BROOKLINE, MA
    ZIP 02445
  • Phone: (617) 566-5445

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NPI Details

LONGWOOD DENTAL GROUP is a dental laboratory technician in Brookline, MA. The provider is an individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary. 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 9/11/2025.

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
1122300000XDentistMASSACHUSETTSNo
21223E0200XDentistEndodonticsMASSACHUSETTSNo
31223P0106XDentistOral and Maxillofacial PathologyMASSACHUSETTSNo
41223P0300XDentistPeriodonticsMASSACHUSETTSNo
51223P0700XDentistProsthodonticsNo
6124Q00000XDental HygienistMASSACHUSETTSNo
7126800000XDental AssistantMASSACHUSETTSNo
8126900000XDental Laboratory TechnicianMASSACHUSETTSYes

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: 11/21/2025

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