NPI 1255003497 · live from the CMS NPI Registry
Elie William Amm, DDS, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Boston, MA. National Provider Identifier 1255003497, active.
NPI record
| NPI | 1255003497 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 930 Commonwealth Ave, Boston, MA 02215 |
| Practice phone | 617-358-1000 |
| Mailing address | 89 Centre St, Brookline, MA 02446 |
| Enumerated | October 5, 2021 |
| Last updated | October 5, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DF11724 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.