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Organization
TRUSTEES OF TUFTS COLLEGE
Active
Organization
TRUSTEES OF TUFTS COLLEGE
Active
Other names
Tufts University School of Dental Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH ANN CONANT (DIRECTOR OF FINANCE & ADMIN)
(617) 636-6842
Entity
Organization
Contact information
Practice address
1 KNEELAND ST FL 5, BOSTON, MA 02111-1527
(617) 636-6842
(617) 636-0309
Mailing address
1 KNEELAND ST FL 5, BOSTON, MA 02111-1527
(617) 636-6842
(617) 636-0309
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4105
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264679
—
MA
01
—
X12142
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/21/2007
Last updated
04/29/2025
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