Organization
BEN SMITH ORTHODONTICS PC
Active
Other names
Bay State Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN DANIEL SMITH DMD, SCM, MMSC (OWNER)
(413) 896-1182
Entity
Organization
Contact information
Practice address
1698 CENTRE ST, WEST ROXBURY, MA 02132-1240
(617) 327-9656
Mailing address
226 BONAD RD, CHESTNUT HILL, MA 02467-3642
(413) 896-1182
(413) 896-1182
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063568277
1770142259
MA
Enumeration date
04/29/2025
Last updated
04/29/2025
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