ADVANCED DENTAL SOLUTIONS LLC (NPI# 1568997930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568997930 |
| Entity Type | Organization |
| Organization Name | ADVANCED DENTAL SOLUTIONS LLC |
| Practice Address |
1682 Beacon St Unit 1 Brookline MA 02445-2120 |
| Practice Telephone | 6178188695 |
| Mailing Telephone | 6178188695 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | DR. DAREL D MOSS (OWNER/DENTIST) |
| Authorized Official Telephone | 6178188695 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
13492 | MA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225536683 | Advanced Dental Solutions LLC | Dentist | 134 Evergreen Rd Ste 201, Louisville, KY 40243 | 2018-01-31 |
| Street Address |
1682 BEACON ST UNIT 1 |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02445-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457469264 | Barry Peskin | Dentist | 1682 Beacon St, Barry Peskin Dds, Brookline, MA 02445-2120 | 2006-08-29 |
| 1902153752 | One Dental Care, PC | Dentist | 1682 Beacon St, Brookline, MA 02445-2120 | 2012-08-11 |
| 1942461611 | Delia Dumitriu | Dentist | 1682 Beacon St, Brookline, MA 02445-2120 | 2008-06-24 |
| 1992963896 | Darel Moss D.d.s. PC | Dentist | 1682 Beacon St, Brookline, MA 02445-2120 | 2008-05-28 |
| 1821279613 | Darel David Moss | Dentist | 1682 Beacon St, Brookline, MA 02445-2120 | 2007-11-20 |
| 1649477845 | Nicolae Dumitriu PC | Dentist | 1682 Beacon St, Brookline, MA 02445-5312 | 2007-06-29 |
| 1881736486 | Thomas Henry Mccourt | Dentist | 1682 Beacon St, Brookline, MA 02445-2120 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
| 1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
| 1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
| 1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
| 1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
| 1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
| 1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
| 1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
| Find all providers in zip 02445 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245716620 | Iveta Iontcheva-barehmi Dmd, PC | Clinic/Center | 1842 Beacon St Ste 305, Brookline, MA 02445-1922 | 2018-07-18 |
| 1386146314 | 209 Brookline Dental | Clinic/Center | 209 Harvard St Ste 300, Brookline, MA 02446-5005 | 2018-03-06 |
| 1790295152 | Gary R. Login Dmd | Clinic/Center | 209 Harvard St Ste 402, Brookline, MA 02446-5005 | 2017-10-11 |
| 1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
| 1316200363 | Dental Specialties of Brookline | Clinic/Center | 1203 Beacon St Ste 1, Brookline, MA 02446-5346 | 2012-06-24 |
| 1811213093 | Future Smiles of America | Clinic/Center | 226 Winchester St, 2, Brookline, MA 02446-2767 | 2010-04-13 |
| 1063986610 | Brandon Eash, Dmd, Pllc | Clinic/Center | 1247a Beacon St, Brookline, MA 02446-5202 | 2019-01-16 |
| 1811480965 | Royal Dental Boston, Inc | Clinic/Center | 1051 Beacon St Ste 514, Brookline, MA 02446-5622 | 2018-06-13 |
| 1154844892 | Sean M. Langton, Dmd, Pllc | Clinic/Center | 1540 Beacon St, Brookline, MA 02446-2215 | 2017-07-25 |
| 1881141778 | Jessica K. Hsieh, D.d.s., LLC | Clinic/Center | 1540 Beacon St, Brookline, MA 02446-2215 | 2016-09-08 |
| Find all providers in BROOKLINE | ||||
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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.