Active NPI
Brookline Smile Artists
- Dental Clinic/Center
- Brookline, MA
National Provider Identifier
1790295152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BROOKLINE SMILE ARTISTS
- Practice address
- 209 Harvard St Ste 402
Brookline, MA 02446-5005 - Phone
- (617) 277-0807
- NPI assigned
- Oct 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jillian Boxer
- Title
- Practice Administrator
- Phone
- (857) 707-6047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
209 Harvard St Ste 402
Brookline, MA 02446-5005
Mailing address
209 Harvard St Ste 402
Brookline, MA 02446-5005
Phone (617) 277-0807
Other names 1
- Gary R. Login DMD
National Provider Directory
National Provider DirectoryLocations
209 Harvard St
Ste 402
Brookline, MA 02446
Phone (617) 277-0807
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Brookline, MA
- NPI 1154499432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739232000000",
"number": "1790295152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 HARVARD ST STE 402",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465005",
"telephone_number": "617-277-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 HARVARD ST STE 402",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465005",
"telephone_number": "617-277-0807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKLINE SMILE ARTISTS",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-11",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A",
"authorized_official_last_name": "BOXER",
"authorized_official_first_name": "JILLIAN",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "857-707-6047"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gary R. Login DMD",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.