Harvard School of Dental Medicine

Organization Active NPI General Practice Dentistry · Boston, MA

NPI 1598021156 · NPPES record last updated Apr 9, 2012

Key facts

NPI
1598021156
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DL11500 (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
Organization subpart
Yes
Parent organization (as reported)
HARVARD SCHOOL OF DENTAL MEDICINE

Authorized official

Name
Mrs. Catherine R Lane
Title
Assistant Dean Clinical Operations
Phone
(617) 432-4276

National Provider Directory

Part of
President Fellows of Harva

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X DL11500 MA Yes

Addresses

Primary practice location

188 Longwood Ave
Boston, MA 02115-5819

Mailing address

188 Longwood Ave
Boston, MA 02115-5819
Phone (617) 515-9993

Other providers in Boston, MA

All providers in Boston, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.