| Tufts University School Of Dental Medicine | |
|
1 Kneeland St Boston MA 02111-1527 | |
| (617) 636-6828 | |
| Not Available |
| Full Name | Tufts University School Of Dental Medicine |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Kneeland St, Boston, Massachusetts |
| Authorized Official Name and Position | Beth Conant (DIRECTOR OF FINANCE AND ADMINISTRAT) |
| Authorized Official Contact | 6176366842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tufts University School Of Dental Medicine 136 Harrison Ave Boston MA 02111-1817 Ph: () - | Tufts University School Of Dental Medicine 1 Kneeland St Boston MA 02111-1527 Ph: (617) 636-6828 |
| NPI Number | 1316303324 |
|---|---|
| Provider Enumeration Date | 01/06/2016 |
| Last Update Date | 01/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316303324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DF11049 (Massachusetts) | Primary |
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