GABRIEL BOUSTANI DMD PC NPI 1306235064

NPI Information

  • NPI: 1306235064
  • Provider Name: GABRIEL BOUSTANI DMD PC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 1540 BEACON ST
    BROOKLINE, MA
    ZIP 02446
  • Phone: (617) 738-1950

Map and Directions

Get Directions

NPI Details

GABRIEL BOUSTANI DMD PC is a periodontics dentist in Brookline, MA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. GABRIEL BOUSTANI DMD PC NPI is 1306235064. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1540 BEACON ST
BROOKLINE, MA
ZIP 02446-215
Phone: (617) 738-1950

The provider's authorized official is Gabriel Boustani .
The authorized official title is President and has the following contact phone number (617) 640-4637.

The enumeration date for this NPI number is 1/20/2015 and was last updated on 1/23/2015.

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
11223P0300XDentistPeriodontics21631MASSACHUSETTSYes

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI