Park Prosthodontics, Pllc
Dentist (Prosthodontics)

Address: 800 Boylston St Fl 2, Boston, MA 02199-8081
Phone: 6178299744

Park Prosthodontics, Pllc (NPI# 1164078655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1164078655
Entity Type Organization
Organization Name PARK PROSTHODONTICS, PLLC
Practice Address 800 Boylston St Fl 2
Boston
MA 02199-8081
Practice Telephone 6178299744
Mailing Address 776 Main St Unit 540085
Waltham
MA 02454-5405
Mailing Telephone 2039215437
Authorized Official Name Dr. Carly Park (OWNER)
Authorized Official Telephone 2039215437
Authorized Official Credential DMD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-08-12
Last Update Date 2019-08-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1223P0700X Dentist · Prosthodontics Dental Providers

Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

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1457762569 Julie Ann Mitchell Dentist 175 Cambridge St Ste 310, Boston, MA 02114 2014-05-12
1629354964 Irays Santamaria Dentist 396 Commonwealth Ave Ste 103a, Boston, MA 02215-2823 2011-11-01
1952695892 Chaimongkon Peampring Dentist 315 Huntington Ave, #2b, Boston, MA 02115-4444 2011-06-08
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1831340991 Waleerat Kaweevisaltrakul Dentist 100 E Newton St # G219, Boston, MA 02118-2308 2008-10-08
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Office Location

Street Address 800 BOYLSTON ST FL 2
City BOSTON
State MA
Zip Code 02199-8081

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568856953 Dental Delights PC Dentist 770 Boylston Street, Apt#4d, Boston, MA 02199 2015-03-24
1811206444 Amy Boyce Dietitian, Registered 800 Boylston St., Fitcorp, Prudential Center, Boston, MA 02199 2010-09-30
1629217807 Enrico Petrillo Internal Medicine Cb Health Ventures, L.l.c., 800 Boylston St . Suite 1585, Boston, MA 02199 2009-02-12
1053465542 Minaj Naimi Dentist 800 Boyston Street, Suite 200, Boston, MA 02199 2007-01-22
1578617163 Michael O Toole Dentist 800 Boylston Street, Suite 200, Boston, MA 02199 2007-01-22
1609952555 Laurie Kaslow Social Worker 56 Dimock Street, Roxbury, MA 02199 2006-10-31
1073088241 And Still We Rise, LLC Community/Behavioral Health 800 Boylston St, Floor 16, Boston, MA 02199 2018-10-03
1598029084 Brad Shattuck Psychiatry & Neurology 800 Boylston St., 16th Floor, Boston, MA 02199 2012-06-28
1518007392 Charles M Travring Dentist 800 Boylston Street, Suite 200, Boston, MA 02199 2007-02-08
1790824985 Maria E Cardenas Dentist 800 Boylston Street, Suite 200, Boston, MA 02199 2007-02-05
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Competitor

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City BOSTON
Zip Code 02199

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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