DONALD FREDERICK BOOTH DMD NPI 1528076932

NPI Information

  • NPI: 1528076932
  • Provider Name: DONALD FREDERICK BOOTH, DMD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 100 E NEWTON ST
    G407
    BOSTON, MA
    ZIP 02118
  • Phone: (617) 638-4350

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NPI Details

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
11223S0112XDentistOral and Maxillofacial Surgery9517MASSACHUSETTSYes

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
1T58505MEDICARE UPIN
2X02972MEDICARE ID-TYPE UNSPECIFIED
30203505MEDICAIDMASSACHUSETTS
416396UHOTHERHPHC

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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