NPIMap

Organization Active NPI

Trustees of Boston University

Doing business as BU Oral Surgery Group Practice

  • Oral and Maxillofacial Surgery (Dentist)
  • Boston, MA
National Provider Identifier
1720211428
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4954 Issued in MA
Legal business name
TRUSTEES OF BOSTON UNIVERSITY
Doing business as
BU Oral Surgery Group Practice
Practice address
30 Warren St
Boston, MA 02135-3602
Phone
(866) 390-1815
Fax
(617) 638-4490
NPI assigned
Aug 27, 2009
Last updated
Aug 27, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
TRUSTEES OF BOSTON UNIVERSITY HENRY M. GOLDMAN SCHOOL OF DENTAL MEDICIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Dr. Jeffrey W Hutter, D.M.D., M.ED
Title
Dean
Phone
(617) 638-4780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4954 MA Primary

Addresses

Primary practice location

30 Warren St
Boston, MA 02135-3602

Mailing address

100 E Newton St
RM G317
Boston, MA 02118-2308
Phone (617) 638-5932

Other names 1

  • BU Oral Surgery Group Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Boston University Henry M Goldman School of Dental Medicine22 organizations share this tax ID, including this one
Part of
Boston University Henry M Goldman School of Dental Medicine

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

100 East Newton St
Rm G317
Boston, MA 02118
Phone (617) 638-4705

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1720211428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E NEWTON ST",
            "address_2": "RM G317",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "617-638-5932",
            "fax_number": "617-638-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WARREN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021353602",
            "telephone_number": "866-390-1815",
            "fax_number": "617-638-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF BOSTON UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUSTEES OF BOSTON UNIVERSITY HENRY M. GOLDMAN SCHOOL OF DENTAL MEDICI",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "HUTTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "617-638-4780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.ED"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "4954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BU Oral Surgery Group Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.