HARVARD SCHOOL OF DENTAL MEDICINE


Address: 188 Longwood Ave, Boston, MA 02115-5819
Phone: 6175159993

HARVARD SCHOOL OF DENTAL MEDICINE (NPI# 1598021156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598021156
Entity Type Organization
Organization Name HARVARD SCHOOL OF DENTAL MEDICINE
Practice Address 188 Longwood Ave
Boston
MA 02115-5819
Practice Telephone 6175159993
Mailing Telephone 6175159993
Enumeration Date 2012-04-09
Last Update Date 2012-04-09
Authorized Official Name MRS. CATHERINE R LANE (ASSISTANT DEAN CLINICAL OPERATIONS)
Authorized Official Telephone 6174324276
Is Organization Subpart Y
Parent Organization Name HARVARD SCHOOL OF DENTAL MEDICINE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DL11500 MA Dental Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1790144020 Harvard School of Dental Medicine Dentist 188 Longwood Ave, Boston, MA 02115-5819 2016-02-15
1750767059 Harvard School of Dental Medicine Dentist 170 Brookline Ave, Unit 620, Boston, MA 02215-3937 2015-08-10

Office Location

Street Address 188 LONGWOOD AVE
City BOSTON
State MA
Zip Code 02115-5819

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689664849 Thomas R Flynn Dentist 188 Longwood Ave, Boston, MA 02115-5819 2005-10-27
1346857869 Saad Almujel Dentist 188 Longwood Ave, Boston, MA 02115-5819 2020-09-29
1548878176 Ionut Sebastian Viski Dentist 188 Longwood Ave, Boston, MA 02115-5819 2020-07-20
1962010504 Ankita Arunkumar Nigam Dentist 188 Longwood Ave, Boston, MA 02115-5819 2020-07-20
1013525708 Min Jeong Dentist 188 Longwood Ave, Boston, MA 02115-5819 2020-07-19
1235747395 Yujun Wang Dentist 188 Longwood Ave, Boston, MA 02115-5819 2020-07-15
1346868692 Asmaa Faisal Bukhari Dentist 188 Longwood Ave, Boston, MA 02115-5819 2020-07-13
1003433160 Nicha Tokavanich Student in an Organized Health Care Education/Training Program 188 Longwood Ave, Boston, MA 02115-5819 2020-07-06
1134746464 Justin Lewis Tomack Dentist 188 Longwood Ave, Boston, MA 02115-5819 2020-07-02
1144847526 Morgan Celistan Dentist 188 Longwood Ave, Boston, MA 02115-5819 2020-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1679189112 Tara Baxter Orthopaedic Surgery Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 2020-09-21
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447867692 Anisha Sharma Dentist 50 Malden St Apt 611, Boston, MA 02118-2894 2020-09-30
1497360572 Nivedhitha Ramesh Dentist 715 Albany St # 437, Boston, MA 02118-2526 2020-09-15
1225655152 Qian Lin Dentist 151 Tremont St Apt 9s, Boston, MA 02111-1145 2020-06-26
1982225223 Stephanie Mccarthy Brooks Dentist 63 Rutland St Apt 2, Boston, MA 02118-1586 2020-04-28
1922656008 Amro Ehsan Moharem Dentist 888 Washington St Apt 204, Boston, MA 02111-1434 2019-08-31
1104486521 Christine Chiao Dentist 691 Massachusetts Ave Unit 404, Boston, MA 02118-4079 2019-06-18
1912466988 Kathleen Murphy Dentist 75 Chestnut St Apt 22, Boston, MA 02108-1137 2019-03-18
1184199457 Padideh Mohammad Alizadeh Chafjiri Dentist 62 Baylston Street Apt 801, Boston, MA 02116 2018-10-12
1508347717 Omar Alani Dentist 100 E Newton St Dept Of, Boston, MA 02118-2308 2018-08-25
1912490822 Mikenah Joy Vega Dentist 231 Harrison Ave Apt 16, Boston, MA 02111-1857 2018-06-14
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02115

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Dataset Information

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.

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