Active NPIOrganization

Dental Specialties Of Brookline

Clinic/Center, Dental in Brookline, Massachusetts

NPI Number1316200363
Practice location
1203 Beacon St Ste 1, Brookline, MA 02446-5346
Fax
—
Last updated
June 24, 2012

Dental Specialties Of Brookline is a healthcare organization based in Brookline, MA. Dental Specialties Of Brookline practices in Brookline, MA. The NPI Number for Dental Specialties Of Brookline is 1316200363 and holds a License No. 21553 (MA). The current practice location address for Dental Specialties Of Brookline is 1203 Beacon St Ste 1, Brookline, MA 02446-5346 and can be reached out via phone at 617-232-8113.

Provider Profile Details

NPI Number
1316200363
Provider Name
Dental Specialties Of Brookline
Provider Entity Type
Organization
Address
1203 Beacon St Ste 1, Brookline, MA 02446-5346
Phone Number
617-232-8113
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Hyejin Kwak, DMD · Director · 617-232-8113
Provider Enumeration Date
June 24, 2012
Last Update Date
June 24, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1203 Beacon St Ste 1
Brookline, MA 02446-5346
Zip
02446-5346
Phone Number
617-232-8113
Brookline, MA 02446Get directions →

Provider Business Mailing Address Details

Address
1203 Beacon St Ste 1
Brookline, MA 02446-5346
City
Brookline
State
MA
Zip
02446-5346
Phone Number
617-232-8113

License Information

License Number
21553
License State
MA
Taxonomy
Clinic/Center, Dental · 261QD0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dental Specialties Of Brookline?

The NPI number of Dental Specialties Of Brookline is 1316200363. It was assigned on June 24, 2012 and is currently active in the NPPES registry.

What is the specialty of Dental Specialties Of Brookline?

Dental Specialties Of Brookline is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number 21553.

Where does Dental Specialties Of Brookline practice?

The practice location is 1203 Beacon St Ste 1, Brookline, MA 02446-5346. The office can be reached at 617-232-8113 (phone).

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 1316200363 directly on the NPPES registry website.

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