Brigham Dental Group
LBN: Brigham & Womens Hospital
Brigham Dental Group is an health care organization with primary practice located at 75 Francis St , Boston MA 02115. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is the primary health care specialty.
Brigham & Womens Hospital can be contacted via phone (617) 732-6974, or through Deshaies, Roger J via phone (617) 732-7899.
Contact Information
Primary practice address
75 Francis St
Boston MA 02115
Phone: (617) 732-6974
Fax: (617) 232-8970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X |
Profile Details
| NPI number | 1255308227 |
|---|---|
| LBN Legal business name | Brigham & Womens Hospital |
| DBA Doing business as | Brigham Dental Group |
| Authorized official | Deshaies, Roger J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255308227 | NPPES |
| Massachusetts | MEDICAID | 1201514 |
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