person
Samuel Ustayev, DMD
General Practice Dentistry in Brookline, Massachusetts
NPI 1811538705

Samuel Ustayev is a General Practice Dentistry based in Boston, MA and is specialized in General Practice. Samuel Ustayev practices in Brookline, MA and has the professional credentials of DMD. The NPI Number for Samuel Ustayev is 1811538705 and holds a License No. (Massachusetts).

The current practice location address for Samuel Ustayev is 367 Harvard St, Brookline, MA and can be reached out via phone at 617-277-1112.

Location: 367 Harvard St, Brookline, MA, 02118-2843
person
Provider Profile Details
NPI Number
1811538705
Provider Name
Samuel Ustayev
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
367 Harvard St, Brookline, MA, 02118-2843
Phone Number
617-277-1112
Fax Number
Provider Enumeration Date
10/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
367 Harvard St
City
State
Zip
02446-2938
Phone Number
617-277-1112
Fax Number
person
Provider Business Mailing Address Details
Address
367 Harvard St
City
State
Zip
02446-2938
Phone Number
617-277-1112
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DN1858649 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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