Gabriel Boustani in Brookline - Periodontics
Gabriel Boustani - NPI 1740216084
Gabriel Boustani is a Periodontics in Brookline, Massachusetts. Gabriel Boustani practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Gabriel Boustani is 1740216084. The last update date is 2015-01-23.
Gabriel Boustani's current location address is 1540 Beacon St, Brookline, Massachusetts. You can contact this provider via phone number 6177381950. The mailing address for Gabriel Boustani is 1540 Beacon St, Brookline, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gabriel Boustani |
|---|---|
| Address | 1540 Beacon St, Brookline, Massachusetts |
| Phone Number | 6177381950 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D., M. |
NPI Number Detail
| NPI Number | 1740216084 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2015-01-23 |
Provider Mailing Address Detail
| Address | 1540 Beacon St |
|---|---|
| City | Brookline |
| State | Massachusetts (MA) |
| Post Code | 24462215 |
| Phone Number | 6177381950 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 21631 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identifier code issued to Gabriel Boustani by the Centers for Medicare & Medicaid Services (CMS)?
The Gabriel Boustani has been assigned the NPI (National Provider Identifier) 1740216084. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Gabriel Boustani's physical address?
The Gabriel Boustani is physically located at 1540 Beacon St, in the city of Brookline, MA, with the postal code 24462215.
What is Gabriel Boustani's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gabriel Boustani's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
When was the Gabriel Boustani's 1740216084 issued?
The Gabriel Boustani's 1740216084 was issued on 2006-06-25.
As of what date was the information regarding Gabriel Boustani, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gabriel Boustani, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-23.