# BOSTON UNIVERSITY SCHOOL OF DENTAL MEDCINE

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

## Provider details

- **NPI number:** 1538320684
- **Authorized official:** RAYYAN A KAYAL BDS (PERIODONTOLOGY RESIDANT)
- **Authorized official phone:** (617) 638-4750

## Contact information

- **Practice address:** 100 E NEWTON ST, BOSTON, MA 02118-2308
- **Practice address phone:** (617) 638-4750
- **Mailing address:** 160 PLEASANT ST, APT \# 809, MALDEN, MA 02148-4832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 9800 | MA | Yes |

## Other

- **Enumeration date:** 06/20/2008
- **Last updated:** 06/20/2008