Bespoke Dental Boston

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BESPOKE DENTAL BOSTON

Practice address

11 Newbury St FL 4
Boston, MA 02116-3138

Phone

(617) 466-6688

NPI assigned

Oct 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Balaban, D.M.D.

Title

Dental Director

Phone

(617) 466-6688

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1540684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540684800000",
    "number": "1124595111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 SAINT GERMAIN ST APT 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021153241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NEWBURY ST FL 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163138",
            "telephone_number": "617-466-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE DENTAL BOSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-28",
        "last_updated": "2018-10-28",
        "status": "A",
        "authorized_official_last_name": "BALABAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "617-466-6688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Beschloss
• Hillel Besdin, DDS
• Carrie Danielle Patterson Besler, PT, DPT
• Nicholas Anthony Besley, MD
• Christina Besong
• Luana Bessa, PHD
• Johannah Bessell
• Leah Bessette, RPH
• Jason Bessey, MD
• Jacy Marie Bessolo, CRNA

• Dental Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2018; 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.