Individual provider · Type 1 NPI

Shankar Rengasamy Venugopalan, BDS, DDS, DMSC, PhD

Orthodontics and Dentofacial Orthopedics Dentistry · Boston, MA

NPI number 1831486356 Active

Practice location

1 Kneeland St Fl 11
Boston, MA 02111-1527

Fax (617) 636-0402

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X40187 (IA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN1859679 (MA)

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 1831486356

Shankar Rengasamy Venugopalan, BDS, DDS, DMSC, PhD's National Provider Identifier is 1831486356, issued on Jul 5, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Boston, MA. The record was last updated on Feb 16, 2024.