Longwood Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LONGWOOD DENTAL PLLC

Practice address

796 Beacon St
Newton, MA 02459-1935

Phone

(617) 928-9299

NPI assigned

Jun 23, 2021

Organization subpart

No

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

Authorized official

Name

Walid Beniassa

Title

Owner

Phone

(617) 928-9299

Specialties & licenses 1

Addresses

Other names 1

• Newton Smile Center Doing business as

Tax ID family

Boston Smile Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Longwood Dental PLLC

  • General Practice Dentistry
  • Brookline, MA
  • NPI 1528722188
  NPD tax ID
• Longwood Dental PLLC

  • Dentist
  • Brookline, MA
  • NPI 1962071100
  NPD tax ID

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1205405347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 BEACON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591935",
            "telephone_number": "617-928-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 BEACON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591935",
            "telephone_number": "617-928-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGWOOD DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "BENIASSA",
        "authorized_official_first_name": "WALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-928-9299"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newton Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ernest V. Loewenstein, O.D.
• John P Long Jr., MD
• Mary L Long, M.D.
• Longevity Care, Inc.
• Longevity Lab & Aesthetics
• Lauren Glener Lookner, M.D.
• Alejandra M. Lopez Barrientos
• Danae Lopez
• Jaime T Lopez, MD
• Linda Lorenz, SP

• General Practice Dentistry in Newton, MA
• Providers in Newton, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.