PRUDENTIAL DENTAL ASSOCIATES INC. (NPI# 1972745891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972745891 |
| Entity Type | Organization |
| Organization Name | PRUDENTIAL DENTAL ASSOCIATES INC. |
| Practice Address |
575 Boylston St 7th Floor Boston MA 02116-3607 |
| Practice Telephone | 6172673889 |
| Practice Fax Number | 6172673819 |
| Mailing Telephone | 6172673889 |
| Mailing Fax Number | 6172673819 |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |
| Authorized Official Name | DR. ALEX ADELI (PRESIDENT) |
| Authorized Official Telephone | 6172673889 |
| Authorized Official Credential | MDM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 20677 | MA | Dental Providers |
| Street Address |
575 BOYLSTON ST 7TH FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124092093 | Jennifer E Smith Williams | Dentist | 575 Boylston St, 5th Floor, Boston, MA 02116 | 2006-02-15 |
| 1326574377 | Randy Kostelansky | Acupuncturist | 575 Boylston St, 4th Floor, Boston, MA 02116-3607 | 2017-05-11 |
| 1841747763 | Ryan Hamilton | Chiropractor | 575 Boylston St, Boston, MA 02116-3607 | 2016-09-08 |
| 1376904771 | Hannigan Pt, LLC | Physical Therapist | 575 Boylston St, Floor 4, Boston, MA 02116-3607 | 2016-03-11 |
| 1265873210 | Richard David Senatore | Dentist | 575 Boylston St, 7th Floor, Boston, MA 02116-3607 | 2013-07-07 |
| 1245503960 | Hanh Doan Pllc | Acupuncturist | 575 Boylston St, 2nd Floor, Boston, MA 02116-3607 | 2012-02-10 |
| 1720364383 | Michael Melander Dc LLC | Chiropractor | 575 Boylston St, 4th Floor, Boston, MA 02116-3607 | 2011-10-27 |
| 1770864027 | The Boston Bodyworker | Chiropractor | 575 Boylston St, 2nd Floor, Boston, MA 02116-3607 | 2011-08-31 |
| 1114205127 | Stephanie Quintiliani | Nurse Practitioner | 575 Boylston St, 6th Fl, Boston, MA 02116-3607 | 2011-07-25 |
| 1639495302 | Liana Victoria Avetian | Acupuncturist | 575 Boylston St, Boston, MA 02116-3607 | 2010-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| Find all providers in zip 02116 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353619 | Shikha Nanda | Dentist | 45 E Newton St Apt 107, Boston, MA 02118-4803 | 2020-10-09 |
| 1972100964 | Dafjola Bejleraj | Dentist | 10 High St Ste 333, Boston, MA 02110-1672 | 2020-10-03 |
| 1851998827 | Rami Salloum | Dentist | 60 Mount Pleasant Ave, Boston, MA 02119-3348 | 2020-10-02 |
| 1649885492 | Vanessa Lynn Mancuso Cortinas | Dentist | 490 Harrison Ave Apt 202, Boston, MA 02118-2573 | 2020-09-09 |
| 1407468465 | Treon Dental Partner | Dentist | 22 Traveler St, Boston, MA 02118-2645 | 2020-08-20 |
| 1134747603 | Ahmed Bashir Raddad | Dentist | 100 E Newton St # 707a, Boston, MA 02118-3552 | 2020-07-10 |
| 1770108656 | Nedg Boston | Dentist | 1 Milk St, Boston, MA 02109-5413 | 2020-06-16 |
| 1730702309 | Alla Anastos | Dentist | 4 Charlesgate E Apt 502, Boston, MA 02215-2324 | 2020-05-18 |
| 1942841788 | Mina Ihsan | Dentist | 701 Massachusetts Ave Apt 5, Boston, MA 02118-4053 | 2019-10-02 |
| 1831740166 | Saad Joulakh | Dentist | 42 Worcester Sq Apt 11, Boston, MA 02118-2920 | 2019-09-27 |
| 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.