NPIMap

Organization Active NPI

Greater Boston Smiles Pediatric Dentistry PLLC

Doing business as Greater Boston Smiles

  • Pediatric Dentistry
  • Quincy, MA
National Provider Identifier
1225725286
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
GREATER BOSTON SMILES PEDIATRIC DENTISTRY PLLC
Doing business as
Greater Boston Smiles
Practice address
300 Crown Colony Dr Ste 203
Quincy, MA 02169-0929
Phone
(617) 472-5437
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Zachary Kofos, DMDNPI 1013533397
Title
Owner
Phone
(617) 678-3125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

300 Crown Colony Dr Ste 203
Quincy, MA 02169-0929

Mailing address

240 Devonshire St Unit 4501
Boston, MA 02110-2172
Phone (617) 678-3125

Other names 1

  • Greater Boston Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

300 Crown Colony Dr
Ste 203
Quincy, MA 02169
Phone (617) 375-7700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1225725286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 DEVONSHIRE ST UNIT 4501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102172",
            "telephone_number": "617-678-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CROWN COLONY DR STE 203",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690929",
            "telephone_number": "617-472-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON SMILES PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "KOFOS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-678-3125",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Boston Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.