| Boston University Oral Surgery Group | |
|
100 E Newton St G407 Boston MA 02118-2308 | |
| (617) 638-4352 | |
| (617) 638-4365 |
| Full Name | Boston University Oral Surgery Group |
|---|---|
| Speciality | Dentist |
| Location | 100 E Newton St, Boston, Massachusetts |
| Authorized Official Name and Position | Pushkar Mehra (CHAIRMAN) |
| Authorized Official Contact | 6176384352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston University Oral Surgery Group 100 E Newton St G407 Boston MA 02118-2308 Ph: (617) 638-4352 | Boston University Oral Surgery Group 100 E Newton St G407 Boston MA 02118-2308 Ph: (617) 638-4352 |
| NPI Number | 1154331916 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 03/14/2011 |
| Medicare PECOS PAC ID | 8921070822 |
|---|---|
| Medicare Enrollment ID | O20040811000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154331916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Ruben Figueroa |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1952311268 PECOS PAC ID: 9335124411 Enrollment ID: I20040622001462 |
| Provider Name | Robert E Garber |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548290653 PECOS PAC ID: 1254393861 Enrollment ID: I20041027000197 |
| Provider Name | Vikki L Noonan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1619980745 PECOS PAC ID: 2466419536 Enrollment ID: I20041210000493 |
| Provider Name | Pushkar Mehra |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1891714093 PECOS PAC ID: 5890706436 Enrollment ID: I20060511000128 |
| Provider Name | Jennifer Soncini |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023149424 PECOS PAC ID: 1951402643 Enrollment ID: I20070725000303 |
| Provider Name | Steven J Bookless |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1730103128 PECOS PAC ID: 9436243078 Enrollment ID: I20070913000496 |
| Provider Name | Hussam S Batal |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1356360556 PECOS PAC ID: 5991890956 Enrollment ID: I20071005000079 |
| Provider Name | Richard D D'innocenzo |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1831109065 PECOS PAC ID: 9234261041 Enrollment ID: I20100714000597 |
| Provider Name | Thomas Kilgore |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568470581 PECOS PAC ID: 9739211434 Enrollment ID: I20100715000617 |
| Provider Name | Magnolia Venegas |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1942225891 PECOS PAC ID: 5890880413 Enrollment ID: I20110105000384 |
| Provider Name | Timothy M Osborn |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1962619684 PECOS PAC ID: 1254587819 Enrollment ID: I20120919000628 |
| Provider Name | Radhika Chigurupati |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1598719056 PECOS PAC ID: 4587641071 Enrollment ID: I20130523000333 |
| Provider Name | Steven Caldroney |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1083603450 PECOS PAC ID: 0547483752 Enrollment ID: I20170719000557 |
| Provider Name | Eyad Haidar |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356443246 PECOS PAC ID: 4486912086 Enrollment ID: I20180102001850 |
| Provider Name | Minoo Chaichian |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326083957 PECOS PAC ID: 5092076687 Enrollment ID: I20180222000302 |
| Provider Name | Richard J Tannyhill |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1811003759 PECOS PAC ID: 3173412913 Enrollment ID: I20180228000908 |
| Provider Name | Avani S Khera |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1770804007 PECOS PAC ID: 0941563217 Enrollment ID: I20180419000794 |
| Provider Name | Maria Al Ismail |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063824464 PECOS PAC ID: 5890034458 Enrollment ID: I20190227000620 |
| Provider Name | Salam Alsadiq |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1487043618 PECOS PAC ID: 8527300458 Enrollment ID: I20190425000802 |
| Provider Name | Andrew Henry |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1013278696 PECOS PAC ID: 8325347016 Enrollment ID: I20190904001466 |
| Provider Name | Cristina Baens |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689759763 PECOS PAC ID: 8729410980 Enrollment ID: I20191111000448 |
| Provider Name | Omar Alani |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1508347717 PECOS PAC ID: 1759719081 Enrollment ID: I20200319000747 |
| Provider Name | Manish Bhagania |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1740711423 PECOS PAC ID: 2860822210 Enrollment ID: I20200427000283 |
| Provider Name | Amit Sethi |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1538643358 PECOS PAC ID: 3971933102 Enrollment ID: I20200430001200 |
| Provider Name | Ishwar K Bhatia |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1558524132 PECOS PAC ID: 1658660113 Enrollment ID: I20200727002979 |
| Provider Name | James Wu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841291309 PECOS PAC ID: 8426352790 Enrollment ID: I20201113002478 |
| Provider Name | Daniel S Miller |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1962590448 PECOS PAC ID: 3476967621 Enrollment ID: I20210128002702 |
| Provider Name | Kelly Sayre |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1760895866 PECOS PAC ID: 2466767827 Enrollment ID: I20210527002804 |
| Provider Name | Marcus Couey |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1588939961 PECOS PAC ID: 8729314141 Enrollment ID: I20210609000090 |
| Provider Name | Armando Uribe Rivera |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1881186559 PECOS PAC ID: 6507266228 Enrollment ID: I20210616002371 |
| Provider Name | Patricia Castillo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568587269 PECOS PAC ID: 7911304050 Enrollment ID: I20210916001242 |
| Provider Name | Keri Discepolo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184877169 PECOS PAC ID: 2860792124 Enrollment ID: I20211026000609 |
| Provider Name | Sujey Morgan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1427281963 PECOS PAC ID: 2062800956 Enrollment ID: I20211026002022 |
| Provider Name | Lisa M Gabrish Grabovac |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114977303 PECOS PAC ID: 6901105063 Enrollment ID: I20220805001031 |
| Provider Name | Devaki Sundararajan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1275708455 PECOS PAC ID: 9032586474 Enrollment ID: I20221027002562 |
| Provider Name | Harpreet Singh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356999684 PECOS PAC ID: 8628445236 Enrollment ID: I20221110000062 |
| Provider Name | Christine Chiao |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104486521 PECOS PAC ID: 3274901582 Enrollment ID: I20221117001360 |
| Provider Name | Gladys G. Carrasco Roman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518468099 PECOS PAC ID: 7113390451 Enrollment ID: I20230307001431 |
| Provider Name | Breno Reboucas |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154632545 PECOS PAC ID: 9032570312 Enrollment ID: I20230802003672 |
| Provider Name | Dolrudee Jumlongras |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326285768 PECOS PAC ID: 3072977016 Enrollment ID: I20230911000970 |
| Provider Name | Robert Zee |
|---|---|
| Provider Type | Practitioner - Pediatric Dentistry |
| Provider Identifiers | NPI Number: 1790166411 PECOS PAC ID: 6709328198 Enrollment ID: I20240613000999 |
Boston University Goldman School Of Dental Medicine Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E Newton St, Room G401, Boston, MA 02118 Phone: 617-638-4993 | |
Gentle Dental Newbury St Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 274 Newbury St, Boston, MA 02116 Phone: 617-262-0106 | |
Yael Frydman Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Staniford St Ste 303, Boston, MA 02114 Phone: 617-523-4555 | |
Jack B Share Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 State Street, Boston, MA 02109 Phone: 617-742-1350 Fax: 617-742-2044 | |
Ap Dental Staniford Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Staniford St, Boston, MA 02114 Phone: 978-223-3742 | |
Dental Partners Of Boston Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Staniford St Ste 303, Boston, MA 02114 Phone: 617-523-4555 | |
Bu Oral Surgery Group Practice Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 88 E Newton St, Boston, MA 02118 Phone: 866-390-1815 |