Organization Active NPI

Brookline Smile Artists

  • Dental Clinic/Center
  • Brookline, MA
National Provider Identifier
1790295152
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Feb 11, 2025

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.