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:
Map and Directions
Authorized official contact:
Name: Deshaies, Roger J
Phone: (617) 732-7899

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255308227 NPPES
Massachusetts MEDICAID 1201514

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