Rustam K. De Vitre, Dmd in Boston - Endodontics

Rustam K. De Vitre, Dmd - NPI 1457577884

Rustam K. De Vitre, Dmd is a Endodontics in Boston, Massachusetts. Rustam K. De Vitre, Dmd practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Rustam K. De Vitre, Dmd is 1457577884. The last update date is 2008-08-27.

Rustam K. De Vitre, Dmd's current location address is 392 Commonwealth Ave, Boston, Massachusetts. You can contact this provider via phone number 6172365969 and fax number 6174246298. The mailing address for Rustam K. De Vitre, Dmd is 392 Commonwealth Ave, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Rustam K. De Vitre, Dmd
Address 392 Commonwealth Ave, Boston, Massachusetts
Phone Number 6172365969
Fax Number 6174246298
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name De Vitre K Rustam
Credentials D.M.D.
Telephone Number 6172365969

NPI Number Detail

NPI Number 1457577884
Provider Enumeration Date 2007-04-17
Last Updated Date 2008-08-27

Provider Mailing Address Detail

Address 392 Commonwealth Ave
City Boston
State Massachusetts (MA)
Post Code 2215
Phone Number 6172365969
Fax Number 6174246298

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Licence No 20322
Definition:
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti

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FAQs about Rustam K. De Vitre, Dmd

What is the unique 10-digit identification code assigned to Rustam K. De Vitre, Dmd by the Centers for Medicare & Medicaid Services?

The Rustam K. De Vitre, Dmd has been issued the NPI (National Provider Identifier) 1457577884, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Rustam K. De Vitre, Dmd?

The Rustam K. De Vitre, Dmd is physically situated at 392 Commonwealth Ave, in the city of Boston, state of MA, with the postal code 2215.

What is Rustam K. De Vitre, Dmd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Rustam K. De Vitre, Dmd is Endodontics, and the taxonomy code that classifies this field of practice is 1223E0200X.

When did Rustam K. De Vitre, Dmd receive its 1457577884 assignment?

The Rustam K. De Vitre, Dmd was assigned its 1457577884 on 2007-04-17, which is the date when this unique identifier was issued to the organization.

When was the information regarding Rustam K. De Vitre, Dmd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Rustam K. De Vitre, Dmd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-27.

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