Individual provider · Type 1 NPI

Alexander Albert Joseph Jelicich, DMD

Prosthodontics · Boston, MA

NPI number 1528598299 Active

Practice location

188 Longwood Ave
Boston, MA 02115-5819

Mailing address

1365 Boylston St Unit 1151
Boston, MA 02215-3919

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDN1857626 (MA)
General Practice Dentistry 1223G0001XDN1857626 (MA)
Prosthodontics Primary 1223P0700XDN1857626 (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 1528598299

Alexander Albert Joseph Jelicich, DMD's National Provider Identifier is 1528598299, issued on Jun 15, 2017. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Boston, MA. The record was last updated on Jun 15, 2017.