Boston Dental Restorative Group, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BOSTON DENTAL RESTORATIVE GROUP, LLC

Practice address

25 New Chardon St
Suite 102
Boston, MA 02114-4774

Phone

(617) 227-4924

Fax

(617) 227-1824

NPI assigned

Apr 13, 2015

Last updated

Apr 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Rene Schrott, DMD, MMSC

Title

Managing Director

Phone

(617) 227-4924

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1972999233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NEW CHARDON ST",
            "address_2": "SUITE 102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144774",
            "telephone_number": "617-227-4924",
            "fax_number": "617-227-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NEW CHARDON ST",
            "address_2": "SUITE 102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144774",
            "telephone_number": "617-227-4924",
            "fax_number": "617-227-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON DENTAL RESTORATIVE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "SCHROTT",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "617-227-4924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MMSC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Boston Dental, PC
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• Boston Emergency Physician Foundation, Inc.
• Boston Emergency Services Crisis Stabilization Unit
• Boston Emergency Services Emergency BMC

• Dentist in Boston, MA
• Providers in Boston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.