NPI 1205213774

Smileboston Cosmetic and Implant Dentistry

Organisation Preferred Provider Organization Brookline, MA

Practice location

Address: 1180 Beacon St STE 2b, Brookline, MA 02446-3806
Phone: (617) 277-4100
Fax: (617) 277-4100
Mailing address: 1180 Beaconstreet Suite 2b, Brookline, MA 02446

Authorised official

Name: Steven D Spitz
Title: Prosthodontist/Owner
Phone: (617) 277-4100

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 18722 (MA)

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Registry record

NPI: 1205213774
Entity type: Organization
NPI issued: 4 May 2015
Record last updated: 4 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.