SMILE DESIGN BOSTON NPI 1992294979

NPI Information

  • NPI: 1992294979
  • Provider Name: SMILE DESIGN BOSTON
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Doing Business As: SMILE DESIGN BOSTON
  • Address: 21 CUSTOM HOUSE ST STE 110
    BOSTON, MA
    ZIP 02110
  • Phone: (617) 840-0627

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NPI Details

SMILE DESIGN BOSTON is a periodontics dentist in Boston, 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. SMILE DESIGN BOSTON NPI is 1992294979. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Smile Design Boston.

The provider's business location address is:

21 CUSTOM HOUSE ST STE 110
BOSTON, MA
ZIP 02110-525
Phone: (617) 840-0627

The provider's authorized official is Andre Hashem .
The authorized official title is Owner and has the following contact phone number (617) 840-0627.

The enumeration date for this NPI number is 5/6/2018 and was last updated on 5/6/2018.

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
11223P0300XDentistPeriodonticsDN1856740MASSACHUSETTSYes

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
11487727301OTHERBLUE CROSS BLUE SHIELD DENTAL
21487727301OTHERDELTA DENTAL PREMIER

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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