Individual provider · Type 1 NPI

Andre Barbisan de Souza, DMD

Prosthodontics · Boston, MA

NPI number 1114393634 Active

Practice location

1 Kneeland St Rm 1248
Boston, MA 02111-1527

Mailing address

188 Longwood Ave
Boston, MA 02115-5819

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700XDF11685 (MA)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1114393634

Andre Barbisan de Souza, DMD's National Provider Identifier is 1114393634, issued on Aug 19, 2015. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Boston, MA. The record was last updated on May 19, 2021.