Citidental Center Brookline

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CITIDENTAL CENTER BROOKLINE

Practice address

637 Washington St Ste 210
Brookline, MA 02446-4579

Phone

(617) 874-1511

NPI assigned

Mar 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Eyad Salloum, DMD

Title

Dentist

Phone

(617) 874-1511

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1568163012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WASHINGTON ST STE 210",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WASHINGTON ST STE 210",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464579",
            "telephone_number": "617-874-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIDENTAL CENTER BROOKLINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "SALLOUM",
        "authorized_official_first_name": "EYAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-874-1511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyue Ling Chyi, LMHC
• Mia Cianciarulo
• Carol R. Ciaravino, L..I.C.S.W.
• Stephen K Cina, LIC. AC.
• Citidental Brookline PLLC
• Johanna G Clair
• Myles Richard Clancy, D.M.D.
• Kimberly Clark Lucero, SLP
• Charles Whitman Clark, MSSS
• Jennifer Cathryn Clark, OTR/L

• 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 Mar 13, 2023; 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.