Doctors of High Street LLC

Primary specialty

DentistTaxonomy code 122300000X

License

18691 Issued in MA

Legal business name

DOCTORS OF HIGH STREET LLC

Doing business as

High Street Dental Group

Practice address

10 High St
Suite 333
Boston, MA 02110-1605

Phone

(617) 482-2500

Fax

(617) 482-2522

NPI assigned

Sep 5, 2014

Organization subpart

No

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

Authorized official

Name

Basel Badawi, DMD

Title

President

Phone

(617) 482-2500

Specialties & licenses 1

Addresses

Other names 1

• High Street Dental Group Doing business as

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1154722494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "address_2": "SUITE 333",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101605",
            "telephone_number": "617-482-2500",
            "fax_number": "617-482-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "address_2": "SUITE 333",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101605",
            "telephone_number": "617-482-2500",
            "fax_number": "617-482-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS OF HIGH STREET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "BADAWI",
        "authorized_official_first_name": "BASEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-482-2500",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "18691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Street Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Ozgun Dockery, MD
• John K Dockrey, R.N.
• Jacob Savage Dockterman, MD, PHD
• Michael Docktor, MD
• Lauren Beth Doctoroff, MD
• Doctors of Post Office Square LLC
• Anna Docurral, LCSW
• Mary Elizabeth Dodd
• Mary-Magdalene Dodd, MD
• Joshua Keith Dodderer, MD, MPH

• Dentist in Boston, MA
• Providers in Boston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.