# TRUSTEES OF BOSTON UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRUSTEES OF BOSTON UNIVERSITY
- **Other names:** Boston University Oral Surgery Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154331916
- **Legal business name:** TRUSTEES OF BOSTON UNIVERSITY
- **Authorized official:** DR. PUSHKAR MEHRA DMD (CHAIRMAN)
- **Authorized official phone:** (617) 638-4352

## Contact information

- **Practice address:** 100 E NEWTON ST, G407, BOSTON, MA 02118-2308
- **Practice address phone:** (617) 638-4352
- **Practice address fax:** (617) 638-4365
- **Mailing address:** 100 E NEWTON ST, G407, BOSTON, MA 02118-2308
- **Mailing address phone:** (617) 638-4352
- **Mailing address fax:** (617) 638-4365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 03/14/2011