Individual provider · Type 1 NPI

Xinxin Tian, DMD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1104794718 Active

Practice location

1 Kneeland St
Boston, MA 02111-1527

Call (617) 636-6828 Map

Mailing address

30 Floral St
Newton, MA 02461-1245

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104794718

Xinxin Tian, DMD's National Provider Identifier is 1104794718, issued on Oct 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Oct 27, 2025.