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NPI 1851923221 · live from the CMS NPI Registry

Boston Smiles PLLC

Dentist, General Practice in Boston, MA. National Provider Identifier 1851923221, active.

NPI record

NPI1851923221 Type 2 · organization
StatusActive
Primary specialtyDentist, General Practice 1223G0001X
Practice location151 Merrimac St, Boston, MA 02114
Practice phone617-982-2233
EnumeratedFebruary 4, 2020
Last updatedSeptember 13, 2020
Authorized officialJessika Jahnsen, Clinical Director
Other namesBoston Smiles

Taxonomies and licenses

TaxonomyCodeLicense
Dentist122300000X—
Dentist, Endodontics1223E0200X—
Dentist, Pediatric Dentistry1223P0221X—
Dentist, Periodontics1223P0300X—
Dentist, Prosthodontics1223P0700X—
Dentist, Oral and Maxillofacial Surgery1223S0112X—
Dentist, Oral and Maxillofacial Radiology1223X0008X—
Dentist, Orthodontics and Dentofacial Orthopedics1223X0400X—
Dentist, Orofacial Pain1223X2210X—
Dental Hygienist124Q00000X—
Dental Assistant126800000X—
Dentist, General Practice primary1223G0001X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.