OSORIO SOUTH BOSTON DENTAL GROUP DMD PC (NPI# 1568939163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568939163 |
| Entity Type | Organization |
| Organization Name | OSORIO SOUTH BOSTON DENTAL GROUP DMD PC |
| Practice Address |
60 Federal St Boston MA 02110-2510 |
| Practice Telephone | 6174236165 |
| Mailing Telephone | 6174236165 |
| Mailing Fax Number | 6174260006 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | JULIAN OSORIO (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6172681030 |
| Authorized Official Credential | DMD, MSCD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 29 Farragut Rd, South Boston, MA 021271718 | 6172681030 |
| Street Address |
60 FEDERAL ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02110-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790838225 | Watkinosorio Dental Associates | Dentist | 60 Federal St, Boston, MA 02110-2510 | 2007-01-19 |
| 1649620873 | Chiara Castellucci | Dentist | 60 Federal St, Boston, MA 02110-2510 | 2016-06-19 |
| 1780091348 | Edward P Wysocki | Dentist | 60 Federal St, Boston, MA 02110-2510 | 2014-07-16 |
| 1659577203 | Hiroshi Hinenoya | Dentist | 60 Federal St, Boston, MA 02110-2510 | 2007-06-21 |
| 1720282551 | Arnold Watkin | Dentist | 60 Federal St, Boston, MA 02110-2510 | 2007-06-14 |
| 1134323975 | Darrly J Lung | Dentist | 60 Federal St, Boston, MA 02110-2510 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657487 | Laqueen Arleen Battle | Counselor | 101 Arch Street, 8th Floor, Ste 869, Boston, MA 02110 | 2020-07-24 |
| 1164051033 | Arthur Paul Brodie | Massage Therapist | Boston Athletic Club, 653 Summer St., Boston, MA 02110 | 2020-04-03 |
| 1588146286 | Erin Collette Kenney | Dietitian, Registered | 5 Fan Peir Boulevard, Boston, MA 02110 | 2018-08-30 |
| 1316430705 | Jennifer B Ash | Psychologist | 101 Federal St Ste 1900, Boston, MA 02110 | 2018-06-11 |
| 1063930501 | Rachel Duda | Psychologist | 185 Devonshire Street Suite 901, Boston, MA 02110 | 2017-09-05 |
| 1770892101 | Chiajou Lu | Marriage & Family Therapist | 185 Devonshire St Ste 500, Boston, MA 02110 | 2010-10-04 |
| 1518298975 | Thom Delahunt | Marriage & Family Therapist | 185 Devonshire St Ste 503, Boston, MA 02110 | 2010-01-26 |
| 1710133582 | Pamela Marie Maragliano | Dentist | Lewis Wharf Bay 237, Boston, MA 02110 | 2008-08-13 |
| 1962672774 | Laura Marie Daniels | Acupuncturist | 185 Devonshire St., Suite 201, Boston, MA 02110 | 2008-03-07 |
| 1609060896 | Robert J. Chapman | Dentist | 28 Atlantic Ave. Lewis Wharf, Boston, MA 02110 | 2007-08-30 |
| Find all providers in zip 02110 | ||||
| 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.