SPECIALIZED GROUP PRACTICE PLLC NPI 1578436093

NPI Information

  • NPI: 1578436093
  • Provider Name: SPECIALIZED GROUP PRACTICE PLLC
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Organization
  • Address: 800 BOYLSTON ST FL 2
    BOSTON, MA
    ZIP 02199
  • Phone: (617) 206-1712

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NPI Details

SPECIALIZED GROUP PRACTICE PLLC is a prosthodontics dentist in Boston, 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. SPECIALIZED GROUP PRACTICE PLLC NPI is 1578436093. The provider is registered as an organization entity type.

The provider's business location address is:

800 BOYLSTON ST FL 2
BOSTON, MA
ZIP 02199-081
Phone: (617) 206-1712

The provider's authorized official is Albert Zebouni .
The authorized official title is Sole Member and has the following contact phone number (617) 595-3600.

The enumeration date for this NPI number is 9/29/2025 and was last updated on 10/3/2025.

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
1261QD0000XClinic/CenterDentalNo
21223P0700XDentistProsthodonticsYes

What is NPI?

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This page was last updated on: 11/21/2025

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