Boston Park Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BOSTON PARK DENTAL GROUP

Practice address

128A Tremont St FL 3
Boston, MA 02108-4716

Phone

(617) 482-1117

NPI assigned

May 7, 2018

Organization subpart

No

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

Authorized official

Name

Yongjeong Kim

Title

Secretary

Phone

(617) 482-1117

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1376032292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128A TREMONT ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084716",
            "telephone_number": "617-482-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128A TREMONT ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084716",
            "telephone_number": "617-482-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON PARK DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YONGJEONG",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "617-482-1117"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Nurse Staffing LLC
• Boston Oral and Facial Surgery, LLC
• Boston Orthopaedic Urgent Care, LLC
• Boston Pain Relief LLC (Boston Pain Relief Massage)
• Boston Pain Relief Massage Therapy (Boston Pain Relief)
• Boston Partners in Care
• Boston Pediatric Neurosurgical Foundation, Inc.
• Boston Plastic & Oral Surgery
• Boston Plastic Surgery Associates, PC
• Boston Premier Dentistry, PC

• 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 May 7, 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.