Longwood Dental Group

Primary specialty

Dental Laboratory TechnicianTaxonomy code 126900000X

Legal business name

LONGWOOD DENTAL GROUP

Practice address

1842 Beacon St
Brookline, MA 02445-1930

Phone

(617) 566-5445

Fax

(617) 730-8482

NPI assigned

Mar 19, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Berdj Kiladjian, DMDNPI 1518081389

Title

Owner

Phone

(617) 566-5445

Specialties & licenses 8

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Berdj Kiladjian, D.M.D.

  • Prosthodontics
  • Brookline, MA
  • NPI 1518081389
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1033233713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451930",
            "telephone_number": "617-566-5445",
            "fax_number": "617-730-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451930",
            "telephone_number": "617-566-5445",
            "fax_number": "617-730-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGWOOD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KILADJIAN",
        "authorized_official_first_name": "BERDJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-566-5445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "126900000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory Technician",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne M. London, D.C.
• Kristin Ann Long, PHD
• Longo Dental Associates, P.C.
• Dan L. Longo, M.D.
• Maria Lourdes Longo, D.M.D.
• Longwood Dental PLLC (Boston Smile Center)
• Longwood Dental PLLC (Longwood Dental Group)
• Longwood Hospice, LLC
• Longwood MRI Specialists Inc
• Longwood MRI Specialists Inc.

• Dental Laboratory Technician in Brookline, MA
• Providers in Brookline, MA by specialty
• Dental Laboratory Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.