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Organization

TRUSTEES OF BOSTON UNIVERSITY

Active
Parent organization
TRUSTEES OF BOSTON UNIVERSITY
Other names
Boston University Dental Health Center - 930 Commonwealth Ave.
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRUSTEES OF BOSTON UNIVERSITY
Authorized official
DR. JEFFREY W HUTTER DMD, MED (PROFESSOR AND DEAN)
(617) 638-4780
Entity
Organization

Contact information

Practice address
930 COMMONWEALTH AVE, BOSTON, MA 02215-1274
(617) 358-1000
(617) 358-1010
Mailing address
930 COMMONWEALTH AVE, BOSTON, MA 02215-1274
(617) 358-1000
(617) 358-1010

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
4954
MA
1223G0001X
General Practice Dentistry
Primary
4954
MA
1223P0221X
Pediatric Dentistry
4954
MA
1223P0300X
Periodontics
4954
MA
1223P0700X
Prosthodontics
4954
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4954
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4954
MA
124Q00000X
Dental Hygienist
4954
MA
126800000X
Dental Assistant
4954
MA
126900000X
Dental Laboratory Technician
4954
MA

Other

Enumeration date
01/18/2007
Last updated
12/03/2008
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