Harvard School of Dental Medicine

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DL11500 Issued in MA

Legal business name

HARVARD SCHOOL OF DENTAL MEDICINE

Practice address

188 Longwood Ave
Boston, MA 02115-5819

Phone

(617) 515-9993

NPI assigned

Apr 9, 2012

Last updated

Apr 9, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

HARVARD SCHOOL OF DENTAL MEDICINEAs reported in NPPES

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

Authorized official

Name

Mrs. Catherine R Lane

Title

Assistant Dean Clinical Operations

Phone

(617) 432-4276

Specialties & licenses 1

Addresses

Part of

Harvard School of Denta

Locations

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1598021156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155819",
            "telephone_number": "617-515-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155819",
            "telephone_number": "617-515-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD SCHOOL OF DENTAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARVARD SCHOOL OF DENTAL MEDICINE",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASSISTANT DEAN CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "617-432-4276",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DL11500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.