| Bu Oral Surgery Group Practice | |
|
725 Albany St Boston MA 02118-2526 | |
| (617) 638-4350 | |
| (617) 638-4365 |
| Full Name | Bu Oral Surgery Group Practice |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 725 Albany St, Boston, Massachusetts |
| Authorized Official Name and Position | Jeffrey W Hutter (DEAN) |
| Authorized Official Contact | 6176384780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bu Oral Surgery Group Practice 100 E Newton St Suite G407 Boston MA 02118-2308 Ph: (617) 638-4350 | Bu Oral Surgery Group Practice 725 Albany St Boston MA 02118-2526 Ph: (617) 638-4350 |
| NPI Number | 1326483074 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 05/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326483074 | NPI | - | NPPES |
| 110009488C | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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