# TRUSTEES OF BOSTON UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRUSTEES OF BOSTON UNIVERSITY HENRY M. GOLDMAN SCHOOL OF DENTAL MEDICI
- **Other names:** BU Oral Surgery Group Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720211428
- **Legal business name:** TRUSTEES OF BOSTON UNIVERSITY HENRY M. GOLDMAN SCHOOL OF DENTAL MEDICI
- **Authorized official:** DR. JEFFREY W HUTTER D.M.D., M.ED (DEAN)
- **Authorized official phone:** (617) 638-4780

## Contact information

- **Practice address:** 30 WARREN ST, BOSTON, MA 02135-3602
- **Practice address phone:** (866) 390-1815
- **Practice address fax:** (617) 638-4490
- **Mailing address:** 100 E NEWTON ST, RM G317, BOSTON, MA 02118-2308
- **Mailing address phone:** (617) 638-5932
- **Mailing address fax:** (617) 638-4490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4954 | MA | Yes |

## Other

- **Enumeration date:** 08/27/2009
- **Last updated:** 08/27/2009