Provider Demographics
NPI:1396862538
Name:NEW ENGLAND DENTAL CENTER
Entity Type:Organization
Organization Name:NEW ENGLAND DENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:CHLOE
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-266-2700
Mailing Address - Street 1:665 BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-4824
Mailing Address - Country:US
Mailing Address - Phone:617-266-2700
Mailing Address - Fax:617-266-2815
Practice Address - Street 1:665 BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-4824
Practice Address - Country:US
Practice Address - Phone:617-266-2700
Practice Address - Fax:617-266-2815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty