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 |
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Authorized Official Name | De Vitre K Rustam |
Credentials | D.M.D. |
Telephone Number | 6172365969 |
NPI Number Detail
NPI Number | 1457577884 |
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Provider Enumeration Date | 2007-04-17 |
Last Updated Date | 2008-08-27 |
Provider Mailing Address Detail
Address | 392 Commonwealth Ave |
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City | Boston |
State | Massachusetts (MA) |
Post Code | 2215 |
Phone Number | 6172365969 |
Fax Number | 6174246298 |
Provider's Primary Taxonomy Detail
Speciality | Endodontics |
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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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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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