TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE (NPI# 1861931867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861931867 |
| Entity Type | Organization |
| Organization Name | TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE |
| Other Organization Name | TUFTS UNIVERSITY CBCT IMAGING CLINIC |
| Practice Address |
1 Kneeland St 3rd Fl Boston MA 02111-1527 |
| Mailing Address |
200 Harrison Ave 2nd Fl Boston MA 02111-1836 |
| Practice Telephone | 6176366812 |
| Mailing Telephone | 6176360451 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | BETH CONANT (DIR CLINIC FINANCE & ADMINISTRATION) |
| Authorized Official Telephone | 6176366842 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRUSTEES OF TUFTS COLLEGE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Tufts University CBCT Imaging Clinic | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1487053799 | Tufts University School of Dental Medicine | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2014-08-22 |
| 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 3RD FL |
| 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 | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558525915 | Bernard Friedland | Dentist | 188 Longwood Avenue, Harvard School of Dental Medicine, Boston, MA 02115-5819 | 2008-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699162677 | Rumpa Ganguly | Dentist | 30 Brucewood Rd, Acton, MA 01720-4422 | 2015-04-17 |
| 1831386614 | Aruna Ramesh | Dentist | 6 Lanthorn Rd, Northborough, MA 01532-2447 | 2007-09-26 |
Please comment or provide details below to improve the information on TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE.
| 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.