Periodontics Dental Implants of Greater Boston

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PERIODONTICS DENTAL IMPLANTS OF GREATER BOSTON

Practice address

30 College Ave
Suite 201
Somerville, MA 02144-1914

Phone

(617) 776-7676

Fax

(617) 776-7677

NPI assigned

May 22, 2008

Last updated

May 22, 2008By 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. Sofia Ostrer-Potapov, DDS

Title

Owner/Doctor

Phone

(617) 776-7676

Specialties & licenses 1

Addresses

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.

• Sofia A Ostrer, DMD,MSD

  • Periodontics
  • Somerville, MA
  • NPI 1114943966
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1437316825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COLLEGE AVE",
            "address_2": "SUITE 201",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441914",
            "telephone_number": "617-776-7676",
            "fax_number": "617-776-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COLLEGE AVE",
            "address_2": "SUITE 201",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441914",
            "telephone_number": "617-776-7676",
            "fax_number": "617-776-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTICS DENTAL IMPLANTS OF GREATER BOSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "OSTRER-POTAPOV",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "617-776-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan G Perez, MD
• Leah Perez, MSW
• Natlia Perez
• Susan Perez, SLP, MFT
• Virginia Perez, CPNP-PC
• Christina Mary Perlak, OTRL
• Mia Perlman, LCSW, LICSW
• Donald H. Perlo, MD
• Christine Peters
• Dawn Marie Peters, MD

• Periodontics in Somerville, MA
• Providers in Somerville, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.