Organization · Type 2 NPI

Trustees of Boston University

Oral and Maxillofacial Surgery (Dentist) · Boston, MA

NPI number 1285867986 Active

Practice location

830 Harrison Ave
Boston, MA 02118-2905

Mailing address

100 E Newton St, Rm G317
Boston, MA 02118-2308

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X4954 (MA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1285867986

Trustees of Boston University's National Provider Identifier is 1285867986, issued on Aug 27, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Boston, MA. The record was last updated on Aug 27, 2009.