# BOSTON UNIVERSITY'S DEPARTMENT OF ORAL AND MAXILOFACIAL PATHOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRUSTEES OF BOSTON UNIVERSITY
- **Other names:** BU Oral and Maxilofacial Pathology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093993503
- **Legal business name:** TRUSTEES OF BOSTON UNIVERSITY
- **Authorized official:** DR. JEFFREY W. HUTTER DMD, MED (DEAN AD INTERIM)
- **Authorized official phone:** (617) 638-4780

## Contact information

- **Practice address:** 100 E NEWTON ST, RM G-04, BOSTON, MA 02118-2308
- **Practice address phone:** (617) 638-4775
- **Mailing address:** PO BOX 1167, GOLDTHWAIT ASSOC C/O BU ORAL AND MAXILOFACIAL PATHOLOGY, MARBLEHEAD, MA 01945
- **Mailing address phone:** (781) 631-8210
- **Mailing address fax:** (781) 639-2103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 4954 | MA | Yes |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 02/06/2008