Organization
TRUSTEES OF TUFTS COLLEGE
Active
Other names
Tufts University School of Dental Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH ANN CONANT (DIRECTOR OF FINANCE & ADMIN)
(617) 636-6842
Entity
Organization
Contact information
Practice address
1 KNEELAND ST FL 5, BOSTON, MA 02111-1527
(617) 636-6842
(617) 636-0309
Mailing address
1 KNEELAND ST FL 5, BOSTON, MA 02111-1527
(617) 636-6842
(617) 636-0309
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4105
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264679
—
MA
01
—
X12142
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/21/2007
Last updated
04/29/2025
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