Organization
TRUSTEES OF BOSTON UNIVERSITY
Active
Parent organization
TRUSTEES OF BOSTON UNIVERSITY
Other names
BU ORAL SURGERY GROUP PRACTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRUSTEES OF BOSTON UNIVERSITY
Authorized official
JEFFREY W HUTTER (DEAN)
(617) 638-4780
Entity
Organization
Contact information
Practice address
110 FRANCIS ST, BOSTON, MA 02215-5501
(617) 638-4350
(617) 638-4365
Mailing address
100 E NEWTON ST, SUITE G407, BOSTON, MA 02118-2308
(617) 638-4350
(617) 638-4365
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110009488C
—
MA
Enumeration date
05/15/2013
Last updated
05/15/2013
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