Boston Dental Partners LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN1856303 Issued in MA

Legal business name

BOSTON DENTAL PARTNERS LLC

Doing business as

Washington Park Dental

Practice address

330 Martin Luther King Blvd
Boston, MA 02119-1868

Phone

(508) 904-1530

NPI assigned

Nov 15, 2017

Organization subpart

No

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

Authorized official

Name

Mohamad Kamel, DMDNPI 1841632213

Title

Owner

Phone

(508) 904-1530

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Washington Park Dental Doing business as

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.

• Mohamad Kamel, DMD

  • Dentist
  • Boston, MA
  • NPI 1841632213
  Authorized official Same address or phone

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1639682305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MARTIN LUTHER KING BLVD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021191868",
            "telephone_number": "508-904-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MARTIN LUTHER KING BLVD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021191868",
            "telephone_number": "508-904-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON DENTAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "KAMEL",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-904-1530",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1856303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841632213",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Park Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Boston Dental Esthetics LLC
• Boston Dental LLC
• Boston Dental Restorative Group, LLC
• Boston Dental, PC
• Boston Dermatology and Laser Center, LLC
• Boston Emergency Physician Foundation, Inc.
• Boston Emergency Services Crisis Stabilization Unit

• Dental Clinic/Center in Boston, MA
• Providers in Boston, 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 Nov 15, 2017; 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.