Organization Active NPI

Brookline Dental Studio

  • General Practice Dentistry
  • Brookline, MA
National Provider Identifier
1548915911
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BROOKLINE DENTAL STUDIO
Practice address
1247A Beacon St
Brookline, MA 02446-5202
Phone
(617) 566-5400
Fax
(617) 731-1535
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Dr. Irina Tolmach, DMDNPI 1831313832
Title
Partner
Phone
(617) 566-5400

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1247A Beacon St
Brookline, MA 02446-5202

Mailing address

1247A Beacon St
Brookline, MA 02446-5202
Phone (617) 566-5400

National Provider Directory

National Provider Directory

Locations

1247A Beacon St
Brookline, MA 02446
Phone (617) 566-0103

Practitioners & affiliated clinicians

Practitioners 2

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": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1548915911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247A BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465202",
            "telephone_number": "617-566-5400",
            "fax_number": "617-731-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247A BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465202",
            "telephone_number": "617-566-5400",
            "fax_number": "617-731-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLINE DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "TOLMACH",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "617-566-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.