Booth, Donald Frederick

Booth, Donald Frederick is an individual health care provider with primary practice located at 100 E Newton St G407, Boston MA 02118-2308. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Booth, Donald Frederick can be contacted via phone (617) 638-4350.

Contact Information

Primary practice address
100 E Newton St G407 Boston MA 02118-2308
Phone: (617) 638-4350
Fax: (617) 638-4352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 9517 Massachusetts

Profile Details

NPI number 1528076932
LBN Legal business name Booth, Donald Frederick
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528076932 NPPES
Massachusetts MEDICAID 0203505
Massachusetts Other 16396UH

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