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Rustam K. De Vitre, Dmd
Prosthodontist in Boston, Massachusetts
NPI 1457577884

Rustam K. De Vitre, Dmd is a Prosthodontist based in Boston, MA and is specialized in Prosthodontics. Rustam K. De Vitre, Dmd practices in Boston, MA. The NPI Number for Rustam K. De Vitre, Dmd is 1457577884 and holds a License No. 20322 (Massachusetts).

The current practice location address for Rustam K. De Vitre, Dmd is 392 Commonwealth Ave, Boston, MA and can be reached out via phone at 617-236-5969 and via fax at 617-424-6298. You can also correspond with Rustam K. De Vitre, Dmd through the mailing address at 392 COMMONWEALTH AVE, BOSTON, MA - 02215 (mailing address contact number: 617-236-5969).

Location: 392 Commonwealth Ave, Boston, MA, 02215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457577884
Provider Name
Rustam K. De Vitre, Dmd
Credential
Provider Entity Type
Organization
Address
392 Commonwealth Ave, Boston, MA, 02215
Phone Number
617-236-5969
Fax Number
617-424-6298
Provider Enumeration Date
04/17/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
392 Commonwealth Ave
City
Boston
State
Massachusetts
Zip
02215
Phone Number
617-236-5969
Fax Number
617-424-6298
person
Provider Business Mailing Address Details
Address
392 Commonwealth Ave
City
Boston
State
Massachusetts
Zip
02215
Phone Number
617-236-5969
Fax Number
617-424-6298
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
13701 (Massachusetts)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
18265 (Massachusetts)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
20322 (Massachusetts)
Definition
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.
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