# LONGWOOD DENTAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033233713
- **Authorized official:** DR. BERDJ KILADJIAN DMD (OWNER)
- **Authorized official phone:** (617) 566-5445

## Contact information

- **Practice address:** 1842 BEACON ST, BROOKLINE, MA 02445-1930
- **Practice address phone:** (617) 566-5445
- **Practice address fax:** (617) 730-8482
- **Mailing address:** 1842 BEACON ST, BROOKLINE, MA 02445-1930
- **Mailing address phone:** (617) 566-5445
- **Mailing address fax:** (617) 730-8482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | MA | — |
| 1223E0200X | Endodontics | — | MA | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | MA | — |
| 1223P0300X | Periodontics | — | MA | — |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |
| 124Q00000X | Dental Hygienist | — | MA | — |
| 126800000X | Dental Assistant | — | MA | — |
| 126900000X | Dental Laboratory Technician | — | MA | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 09/11/2025