institution
Smile Design Boston
Periodontist in Boston, Massachusetts
NPI 1992294979

Smile Design Boston is a Periodontist based in Brighton, MA and is specialized in Periodontics. Smile Design Boston practices in Boston, MA. The NPI Number for Smile Design Boston is 1992294979 and holds a License No. DN1856740 (Massachusetts).

The current practice location address for Smile Design Boston is 21 Custom House St Ste 110, Boston, MA and can be reached out via phone at 617-840-0627.

Location: 21 Custom House St Ste 110, Boston, MA, 02135-1245
institution
Provider Profile Details
NPI Number
1992294979
Provider Name
Smile Design Boston
Credential
Provider Entity Type
Organization
Address
21 Custom House St Ste 110, Boston, MA, 02135-1245
Phone Number
617-840-0627
Fax Number
Provider Enumeration Date
05/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1487727301 01 DELTA DENTAL PREMIER
1487727301 01 BLUE CROSS BLUE SHIELD DENTAL
institution
Provider Business Practice Location Address Details
Address
21 Custom House St Ste 110
City
State
Zip
02110-3525
Phone Number
617-840-0627
Fax Number
person
Provider Business Mailing Address Details
Address
21 Custom House St Ste 110
City
State
Zip
02110-3525
Phone Number
617-840-0627
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
DN1856740 (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.
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