Organization
BOSTON SMILES PLLC
Active
Other names
Boston Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIKA SUSAN JAHNSEN DMD (CLINICAL DIRECTOR)
(617) 982-2233
Entity
Organization
Contact information
Practice address
151 MERRIMAC ST, BOSTON, MA 02114-4714
(617) 982-2233
Mailing address
151 MERRIMAC ST, BOSTON, MA 02114-4714
(617) 982-2233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
02/04/2020
Last updated
09/13/2020
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