| Tufts University School Of Dental Medicine | |
|
1 Kneeland St 15th Floor Boston MA 02111-1527 | |
| (617) 636-6842 | |
| (617) 636-0309 |
| Full Name | Tufts University School Of Dental Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Kneeland St, Boston, Massachusetts |
| Authorized Official Name and Position | Beth Ann Conant (DIRECTOR OF FINANCE & ADMIN) |
| Authorized Official Contact | 6176366842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tufts University School Of Dental Medicine 169 Holland St Somerville MA 02144-2401 Ph: (617) 636-6842 | Tufts University School Of Dental Medicine 1 Kneeland St 15th Floor Boston MA 02111-1527 Ph: (617) 636-6842 |
| NPI Number | 1356559371 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 04/16/2014 |
| Medicare PECOS PAC ID | 3779522628 |
|---|---|
| Medicare Enrollment ID | O20080425000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356559371 | NPI | - | NPPES |
| X12142 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0264679 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4105 (Massachusetts) | Primary |
| Provider Name | Michael A Kahn |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023016748 PECOS PAC ID: 4789695230 Enrollment ID: I20060511000287 |
| Provider Name | Mark A Lerman |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Pathology |
| Provider Identifiers | NPI Number: 1295819217 PECOS PAC ID: 6507864030 Enrollment ID: I20061117000111 |
| Provider Name | Edward T Lahey |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1265447965 PECOS PAC ID: 4284635285 Enrollment ID: I20070117000432 |
| Provider Name | Athena S Papas |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1164431573 PECOS PAC ID: 2860575909 Enrollment ID: I20080212000473 |
| Provider Name | Ronald Kulich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003837923 PECOS PAC ID: 6204906175 Enrollment ID: I20080604000155 |
| Provider Name | Maria Papageorge |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265582001 PECOS PAC ID: 7416022835 Enrollment ID: I20080820000264 |
| Provider Name | Mabi L Singh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1639367634 PECOS PAC ID: 1153483763 Enrollment ID: I20081216000310 |
| Provider Name | George E Maloney |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851403083 PECOS PAC ID: 1254504491 Enrollment ID: I20111102000880 |
| Provider Name | Chao Lu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1669765939 PECOS PAC ID: 5698948834 Enrollment ID: I20111102000908 |
| Provider Name | Leopoldo P Correa |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063738730 PECOS PAC ID: 5698948743 Enrollment ID: I20111104000532 |
| Provider Name | Daniel Oreadi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770751463 PECOS PAC ID: 0446494694 Enrollment ID: I20130910000542 |
| Provider Name | David Chang |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1083879829 PECOS PAC ID: 7113210246 Enrollment ID: I20160726002875 |
| Provider Name | Vidya Sankar |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518057652 PECOS PAC ID: 3577746643 Enrollment ID: I20161110000297 |
| Provider Name | Donavon Khosrow K Aroni |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1295150571 PECOS PAC ID: 5698057180 Enrollment ID: I20170118000231 |
| Provider Name | Alberto Bds Malacarne |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578978318 PECOS PAC ID: 1759665557 Enrollment ID: I20170222002050 |
| Provider Name | Patricia Guerrero |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124686100 PECOS PAC ID: 3577942978 Enrollment ID: I20220615000798 |
| Provider Name | Johanna M Hauer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568818136 PECOS PAC ID: 3971898982 Enrollment ID: I20220725001286 |
| Provider Name | Yuanming Xu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760969216 PECOS PAC ID: 9032462940 Enrollment ID: I20221015000205 |
| Provider Name | Reshma Menon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548662224 PECOS PAC ID: 7911370283 Enrollment ID: I20230307002495 |
| Provider Name | Leigh Griffin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1659801694 PECOS PAC ID: 3476828963 Enrollment ID: I20230918000546 |
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 |