NPIMap

Organization Active NPI

Dental Tree LLC

  • Dental Clinic/Center
  • Brookline, MA
National Provider Identifier
1679347876
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL TREE LLC
Doing business as
Brookline Family Dental
Practice address
3 Harvard Ave
Brookline, MA 02446-6295
Phone
(617) 331-3701
NPI assigned
Nov 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Dr. Shu Deng, DMDNPI 1578263331
Title
Director of Practice
Phone
(617) 331-3701

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3 Harvard Ave
Brookline, MA 02446-6295

Mailing address

3 Harvard Ave
Brookline, MA 02446-6295
Phone (617) 331-3701

Other names 1

  • Brookline Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3 Harvard Ave
Brookline, MA 02446
Phone (617) 331-3701

Practitioners & affiliated clinicians

Practitioners 1

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": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1679347876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HARVARD AVE",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466295",
            "telephone_number": "617-331-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HARVARD AVE",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466295",
            "telephone_number": "617-331-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL TREE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "DENG",
        "authorized_official_first_name": "SHU",
        "authorized_official_title_or_position": "DIRECTOR OF PRACTICE",
        "authorized_official_telephone_number": "617-331-3701",
        "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": [
        {
            "organization_name": "Brookline Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 8, 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.