# TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRUSTEES OF TUFTS COLLEGE
- **Other names:** Tufts University CBCT Imaging Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861931867
- **Legal business name:** TRUSTEES OF TUFTS COLLEGE
- **Authorized official:** BETH CONANT (DIR CLINIC FINANCE & ADMINISTRATION)
- **Authorized official phone:** (617) 636-6842

## Contact information

- **Practice address:** 1 KNEELAND ST, 3RD FL, BOSTON, MA 02111-1527
- **Practice address phone:** (617) 636-6812
- **Mailing address:** 200 HARRISON AVE, 2ND FL, BOSTON, MA 02111-1836
- **Mailing address phone:** (617) 636-0451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | — | NULL | Yes |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2017
- **Last updated:** 02/28/2017