Organization · Type 2 NPI

My Brookline Orthodontist, PC

Orthodontics and Dentofacial Orthopedics Dentistry · Brookline, MA

NPI number 1770174708 Active

Practice location

1170 Beacon St
Brookline, MA 02446-3963

Mailing address

5 Mount Royal Ave Ste 300
Marlborough, MA 01752-1900

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XNone listed
Oral and Maxillofacial Surgery (Dentist) 1223S0112XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1770174708

My Brookline Orthodontist, PC's National Provider Identifier is 1770174708, issued on Feb 2, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Brookline, MA. The record was last updated on Mar 11, 2026.