Organization
BOSTON UNIVERSITY'S DEPARTMENT OF ORAL AND MAXILOFACIAL PATHOLOGY
Active
Parent organization
TRUSTEES OF BOSTON UNIVERSITY
Other names
BU Oral and Maxilofacial Pathology
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRUSTEES OF BOSTON UNIVERSITY
Authorized official
DR. JEFFREY W. HUTTER DMD, MED (DEAN AD INTERIM)
(617) 638-4780
Entity
Organization
Contact information
Practice address
100 E NEWTON ST, RM G-04, BOSTON, MA 02118-2308
(617) 638-4775
Mailing address
PO BOX 1167, GOLDTHWAIT ASSOC C/O BU ORAL AND MAXILOFACIAL PATHOLOGY, MARBLEHEAD, MA 01945
(781) 631-8210
(781) 639-2103
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
4954
MA
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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