Organization
TRUSTEES OF BOSTON UNIVERSITY
Active
Parent organization
TRUSTEES OF BOSTON UNIVERSITY
Other names
Boston University Goldman School of Dental Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRUSTEES OF BOSTON UNIVERSITY
Authorized official
DR. JEFFREY W HUTTER DMD, MED (DEAN AD INTERIM)
(617) 638-4780
Entity
Organization
Contact information
Practice address
100 E NEWTON ST, RM G-401, BOSTON, MA 02118-2308
(617) 638-4705
(617) 638-4713
Mailing address
100 E NEWTON ST, 7TH FLOOR, BOSTON, MA 02118-2308
(617) 638-4705
(617) 638-4713
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
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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