Boston University Henry M. Goldman School Of Dental Medicine

LBN: Trustees Of Boston University
Boston University Henry M. Goldman School Of Dental Medicine is an health care organization with primary practice located at 100 E Newton St Rm G317, Boston MA 02118-2308. The organization recently has 10 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dental Hygienist. Dental Providers / General Practice is the primary health care specialty. Trustees Of Boston University can be contacted via phone (617) 638-5932, or through Howard, Martin via phone (617) 353-2290.

Contact Information

Primary practice address
100 E Newton St Rm G317 Boston MA 02118-2308
Phone: (617) 638-5932
Fax: (617) 638-4490
Website:
Map and Directions
Authorized official contact:
Name: Howard, Martin
Phone: (617) 353-2290

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4954 Massachusetts
Dental Providers / Endodontics 1223E0200X 4954 Massachusetts
Dental Providers / General Practice 1223G0001X 4954 Massachusetts
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 4954 Massachusetts
Dental Providers / Pediatric Dentistry 1223P0221X 4954 Massachusetts
Dental Providers / Periodontics 1223P0300X 4954 Massachusetts
Dental Providers / Prosthodontics 1223P0700X 4954 Massachusetts
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4954 Massachusetts
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 4954 Massachusetts
Dental Providers / Dental Hygienist 124Q00000X 4954 Massachusetts

Profile Details

NPI number 1982757506
LBN Legal business name Trustees Of Boston University
DBA Doing business as Boston University Henry M. Goldman School Of Dental Medicine
Authorized official Howard, Martin
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Dec 1st, 2016 - about 8 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 1982757506 NPPES
Massachusetts MEDICAID 0242799

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