Boustani Periodontics PC
Dentist, Periodontics in Providence, Rhode Island
1114745155- Practice location
- 40 Elmgrove Ave, Providence, RI 02906-4104
- Phone
- 401-421-1717
- Fax
- 401-421-0066
- Last updated
- September 30, 2024
Boustani Periodontics PC is a healthcare organization based in Providence, RI. Boustani Periodontics PC practices in Providence, RI. The NPI Number for Boustani Periodontics PC is 1114745155. The current practice location address for Boustani Periodontics PC is 40 Elmgrove Ave, Providence, RI 02906-4104 and can be reached out via phone at 401-421-1717 and via fax at 401-421-0066.
Provider Profile Details
- NPI Number
- 1114745155
- Provider Name
- Boustani Periodontics PC
- Provider Entity Type
- Organization
- Address
- 40 Elmgrove Ave, Providence, RI 02906-4104
- Phone Number
- 401-421-1717
- Fax Number
- 401-421-0066
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Organization Subpart
- No
- Authorized Official
- Dr. Gabriel Boustani, DMD, MSD · President · 617-640-4637
- Provider Enumeration Date
- September 30, 2024
- Last Update Date
- September 30, 2024
- Certification Date
- September 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Elmgrove Ave
Providence, RI 02906-4104 - City
- Providence
- State
- Rhode Island
- Zip
- 02906-4104
- Phone Number
- 401-421-1717
- Fax Number
- 401-421-0066
Provider Business Mailing Address Details
- Address
- 40 Elmgrove Ave
Providence, RI 02906-4104 - City
- Providence
- State
- RI
- Zip
- 02906-4104
- Phone Number
- 401-421-1717
- Fax Number
- 401-421-0066
License Information
- Taxonomy
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Periodontics providers near Providence, RI
View all Dentist, Periodontics providers in Providence →- City Dental, LLCDentist, Periodontics · NPI 1477736452
- Dr. David A Pezzullo, DMDDentist, Periodontics · NPI 1831101989
- Dr. John G Broderick, DMDDentist, Periodontics · NPI 1841403953
- Dr. Scott M Fertik, DDSDentist, Periodontics · NPI 1982810214
- Erica Kleinbaum, DMDDentist, Periodontics · NPI 1558927228
- Periodontal Associates, LTD.Dentist, Periodontics · NPI 1801206677
Frequently Asked Questions
What is the NPI number of Boustani Periodontics PC?
The NPI number of Boustani Periodontics PC is 1114745155. It was assigned on September 30, 2024 and is currently active in the NPPES registry.
What is the specialty of Boustani Periodontics PC?
Boustani Periodontics PC is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X).
Where does Boustani Periodontics PC practice?
The practice location is 40 Elmgrove Ave, Providence, RI 02906-4104. The office can be reached at 401-421-1717 (phone) or 401-421-0066 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114745155 directly on the NPPES registry website.