Bostonia Dental Group P.C

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BOSTONIA DENTAL GROUP P.C

Doing business as

Bostonia Dental of Brookline

Practice address

1842 Beacon St Ste 209
Brookline, MA 02445-1922

Phone

(617) 505-3006

NPI assigned

Sep 6, 2024

Last updated

Sep 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Oliver Carvalho, DMDNPI 1891394029

Title

Doctor

Phone

(617) 505-3006

Specialties & licenses 2

Addresses

Other names 1

• Bostonia Dental of Brookline Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oliver Klinger Carvalho, DMD

  • General Practice Dentistry
  • Wayland, MA
  • NPI 1891394029
  NPD Authorized official

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1376378505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST STE 209",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451922",
            "telephone_number": "617-505-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST STE 209",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451922",
            "telephone_number": "617-505-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTONIA DENTAL GROUP P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "CARVALHO",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "617-505-3006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bostonia Dental of Brookline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gabriel Boustani, D.M.D., M.S.D.
• Barbara J Bowe, MSW LICSW

• 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 Sep 6, 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.