Organization
TUFTS UNIVERSITY
Active
Other names
Oral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATHENA S PAPAS D.M.D., PHD. (PROFESSOR)
(617) 636-3932
Entity
Organization
Contact information
Practice address
1 KNEELAND ST, ORAL MEDICINE DEPT. ROOM 508, BOSTON, MA 02111-1527
(617) 636-3932
(617) 636-4083
Mailing address
1 KNEELAND ST, ORAL MEDICINE DEPT. ROOM 508, BOSTON, MA 02111-1527
(617) 636-3932
(617) 636-4083
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
1165
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1165
DENTAL LICENSE
MA
01
—
4105
DENTAL
MA
Enumeration date
05/07/2007
Last updated
08/22/2020
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