TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE (NPI# 1487053799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487053799 |
| Entity Type | Organization |
| Organization Name | TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE |
| Practice Address |
1 Kneeland St Boston MA 02111-1527 |
| Practice Telephone | 6176366598 |
| Practice Fax Number | 6176360469 |
| Mailing Telephone | 6176366598 |
| Mailing Fax Number | 6176360469 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Authorized Official Name | DR. ROBERT KASBERG (ASSOCIATE DEAN OF ADMISSIONS) |
| Authorized Official Telephone | 6176366539 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DN18149 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104233634 | Tufts University School of Dental Medicine | Dentist | One Kneeland St Room 224, Tufts Dental School, Boston, MA 02111 | 2014-07-16 |
| 1861931867 | Tufts University School of Dental Medicine | Dentist | 1 Kneeland St, 3rd Fl, Boston, MA 02111-1527 | 2017-02-23 |
| 1598215246 | Tufts University School of Dental Medicine | General Acute Care Hospital | 1 Kneeland St, 6th Floor, Boston, MA 02111-1527 | 2016-10-06 |
| 1316303324 | Tufts University School of Dental Medicine | Clinic/Center | 1 Kneeland St, Boston, MA 02111-1527 | 2016-01-06 |
| 1477807386 | Tufts University School of Dental Medicine | Special Hospital | 1 Kneeland St, Boston, MA 02111-1527 | 2012-10-30 |
| 1073756383 | Tufts University School of Dental Medicine | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2009-04-16 |
| Street Address |
1 KNEELAND ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952385742 | Edward Henry Fidrocki | Dentist | 1 Kneeland St, Room 322 A, Boston, MA 02111 | 2005-12-05 |
| 1356942296 | Maria Diluigi | Dental Hygienist | 1 Kneeland St, Boston, MA 02111-1527 | 2020-11-06 |
| 1043818891 | Sultan Albeshri | Student in an Organized Health Care Education/Training Program | 1 Kneeland St, Boston, MA 02111-1527 | 2020-10-14 |
| 1699389015 | Nader Naguib | Student in an Organized Health Care Education/Training Program | 1 Kneeland St, Boston, MA 02111-1527 | 2020-09-02 |
| 1811508443 | Reem Alajlan | Student in an Organized Health Care Education/Training Program | 1 Kneeland St, Boston, MA 02111-1527 | 2020-08-17 |
| 1306457437 | Ranmeek Kaur | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2020-08-12 |
| 1326656166 | Shivangi Tyagi | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2020-07-17 |
| 1790302503 | Sebastien Richard Salzmann | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2020-06-26 |
| 1699391607 | Adam Lowenstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland St, Boston, MA 02111-1527 | 2020-06-25 |
| 1720604317 | John Paul Ramos De Guzman | Student in an Organized Health Care Education/Training Program | 1 Kneeland St, Boston, MA 02111-1527 | 2020-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952852063 | Thaisa Barizan Bordin | Dentist | 100 Morton St Apt 50, Boston, MA 02130-3754 | 2016-10-24 |
| 1295113355 | Mission Hill Dental Services | Dentist | 780 Boylston St Apt 3c, Boston, MA 02199-7802 | 2015-05-09 |
| 1528475613 | Smile Design Innovations | Dentist | Oral Design 11 Newbury Street, Smile Design Innovations, Boston, MA 02116 | 2014-07-21 |
| 1457762569 | Julie Ann Mitchell | Dentist | 175 Cambridge St Ste 310, Boston, MA 02114 | 2014-05-12 |
| 1629354964 | Irays Santamaria | Dentist | 396 Commonwealth Ave Ste 103a, Boston, MA 02215-2823 | 2011-11-01 |
| 1952695892 | Chaimongkon Peampring | Dentist | 315 Huntington Ave, #2b, Boston, MA 02115-4444 | 2011-06-08 |
| 1447494521 | Dong-soo Hong | Dentist | 9 Knapp St. #401, Boston, MA 02111 | 2009-04-21 |
| 1831340991 | Waleerat Kaweevisaltrakul | Dentist | 100 E Newton St # G219, Boston, MA 02118-2308 | 2008-10-08 |
| 1639329121 | Bader A Al-awadhi | Dentist | 130 Dartmouth Street #315, Boston, MA 02116 | 2008-09-22 |
| 1710133582 | Pamela Marie Maragliano | Dentist | Lewis Wharf Bay 237, Boston, MA 02110 | 2008-08-13 |
| Find all providers in BOSTON | ||||
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| 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.