Dental Specialties of Brookline

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

21553 Issued in MA

Legal business name

DENTAL SPECIALTIES OF BROOKLINE

Practice address

1203 Beacon St Ste 1
Brookline, MA 02446-5346

Phone

(617) 232-8113

NPI assigned

Jun 24, 2012

Organization subpart

No

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

Authorized official

Name

Hyejin Kwak, D.M.D

Title

Director

Phone

(617) 232-8113

Specialties & licenses 1

Addresses

Practitioners 1

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

• Khaled Moataz El Rafie, DMD

  • Prosthodontics
  • Brookline, MA
  • NPI 1649601311
  NPD (past)

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340496000000",
    "number": "1316200363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 BEACON ST STE 1",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465346",
            "telephone_number": "617-232-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 BEACON ST STE 1",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465346",
            "telephone_number": "617-232-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALTIES OF BROOKLINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-24",
        "status": "A",
        "authorized_official_last_name": "KWAK",
        "authorized_official_first_name": "HYEJIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-232-8113",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "21553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shu Deng
• Michelle Densmore
• Alexis Ann Denson
• Dental Associates of New England
• Dental Partners of Brookline
• Dental Tree LLC
• Jude Depaolis-Feingold
• Irina Deresh, DMD
• Apurva Desai, PT
• Lisa Kishore Desai, PSY.D.

• Dental Clinic/Center in Brookline, MA
• Providers in Brookline, 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 Jun 24, 2012; 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.