GABRIEL BOUSTANI DMD PC (NPI# 1306235064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306235064 |
| Entity Type | Organization |
| Organization Name | GABRIEL BOUSTANI DMD PC |
| Practice Address |
1540 Beacon St Brookline MA 02446-2215 |
| Mailing Address |
140 Greenwood St Newton MA 02459-3013 |
| Practice Telephone | 6177381950 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-23 |
| Authorized Official Name | DR. GABRIEL BOUSTANI (PRESIDENT) |
| Authorized Official Telephone | 6176404637 |
| Authorized Official Credential | DMD, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
21631 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396209961 | Gabriel Boustani Dmd PC | Dentist | 822 Boylston St Ste 200, Chestnut Hill, MA 02467-2504 | 2019-01-28 |
| Street Address |
1540 BEACON ST |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02446-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254966 | Justine R Kelley | Dentist | 1540 Beacon St, Brookline, MA 02446-2215 | 2005-06-13 |
| 1720618663 | Dental Partners of Brookline | Dentist | 1540 Beacon St, Brookline, MA 02446-2215 | 2020-01-20 |
| 1154844892 | Sean M. Langton, Dmd, Pllc | Clinic/Center | 1540 Beacon St, Brookline, MA 02446-2215 | 2017-07-25 |
| 1447795141 | Zena Al-adeeb Dmd PC | Dentist | 1540 Beacon St, Brookline, MA 02446-2215 | 2017-01-04 |
| 1295279073 | Ryan K May LLC | Dentist | 1540 Beacon St, Brookline, MA 02446-2215 | 2016-12-13 |
| 1881141778 | Jessica K. Hsieh, D.d.s., LLC | Clinic/Center | 1540 Beacon St, Brookline, MA 02446-2215 | 2016-09-08 |
| 1871985317 | Sharon Dental Group LLC | Dentist | 1540 Beacon St, Brookline, MA 02446-2215 | 2015-02-20 |
| 1770923005 | Jessica Kee Hsieh | Dentist | 1540 Beacon St, Brookline, MA 02446-2215 | 2013-07-01 |
| 1285924381 | Maria A. Moser Dmd PC | Dentist | 1540 Beacon St, Brookline, MA 02446-2215 | 2011-04-11 |
| 1164651550 | Ryan D. Blissett, D.m.d., P.C. | Clinic/Center | 1540 Beacon St, Brookline, MA 02446-2215 | 2009-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
| 1730659368 | Boston Family Therapy & Wellness Pllc | Clinic/Center | 1330 Beacon Street Suite 263, Brookline, MA 02446 | 2018-11-27 |
| 1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
| 1467936732 | Helen Elizabeth Weiner | Social Worker | 6 Churchill Sstreet, Brookline, MA 02446 | 2018-09-21 |
| 1285116640 | Dawn Higgins | Social Worker | 227 Summit Avenue W304, Brookline, MA 02446 | 2018-09-03 |
| 1528540978 | Shana Joan Turowitz | Social Worker | 156 Lawton Street, Brookline, MA 02446 | 2018-09-02 |
| 1528563996 | Lauren H Shin | Pediatrics | 150 Pleasant St Unit 309, Brookline, MA 02446 | 2018-03-28 |
| 1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
| 1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
| 1366963258 | Maria Antonietta Mazzola | Psychiatry & Neurology | 57 Manchester Rd, Brookline, MA 02446 | 2017-06-29 |
| Find all providers in zip 02446 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255748919 | Pleasant Dental LLC | Dentist | 1318 Beacon St Ste 20, Brookline, MA 02446-3744 | 2014-07-15 |
| 1053666917 | Boris Stein | Dentist | 1443 Beacon Street, Brookline, MA 02446 | 2012-07-17 |
| 1962652438 | Philip M Walton | Dentist | 175 Freeman St, 422, Brookline, MA 02446-3548 | 2008-09-22 |
| 1942429303 | Iveta Iontcheva-barehmi | Dentist | 1842 Beacon Street Suite 302, Brookline, MA 02445-1411 | 2007-04-24 |
| 1831230317 | Yen-ching Chen | Dentist | 1318 Beacon St, Suite 20, Brookline, MA 02446-3704 | 2007-02-09 |
| 1134269921 | Kenneth Backman | Dentist | 1540 Beacon Street, Brookline, MA 02446 | 2007-02-08 |
| 1629123120 | Mingfang Su | Dentist | 1330 Beacon St Ste 247, Brookline, MA 02446-3200 | 2007-01-24 |
| 1942361787 | Robert J Rudy | Dentist | 1051 Beacon Street, Suite 514, Brookline, MA 02446 | 2006-12-13 |
| 1578584413 | Beacon Place Dental Group | Dentist | 1371 Beacon St, Brookline, MA 02446 | 2006-07-23 |
| 1336391259 | Andrew J. Melcer | Dentist | 1540 Beacon St, Brookline, MA 02446-2215 | 2008-10-22 |
| Find all providers in BROOKLINE | ||||
Please comment or provide details below to improve the information on GABRIEL BOUSTANI DMD PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.