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RELIANT DENTAL GROUP PC
NPI 1104399443
Dentist - General Practice in West Roxbury, MA

Active since January 09, 2019
1996 CENTRE ST STE 201, WEST ROXBURY, MA 02132(617) 221-8000(617) 531-2081 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reliant Dental Group Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RELIANT DENTAL GROUP PC (NPI 1104399443) is a healthcare organization registered as a general practice in West Roxbury, Massachusetts and active in the NPI registry since January 2019. The organization lists Thiago Soares, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104399443
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRELIANT DENTAL GROUP PC
Location Address1996 CENTRE ST STE 201West Roxbury, MA 02132-3330
Mailing Address1996 Centre St Ste 201West Roxbury, MA 02132-3330 · (617) 221-8000 · Fax (617) 531-2081
Phone(617) 221-8000
Fax(617) 531-2081
Organization SubpartYesParent: Reliant Dental Group Llc
Authorized OfficialThiago SoaresAdministrator · (508) 250-6936
Enumeration DateJanuary 9, 2019
✔ NPI 1104399443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1996 CENTRE ST STE 201, West Roxbury, MA 02132
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AI LIN YU
Dentist (General Practice)
1996 CENTRE ST STE 201
WEST ROXBURY, MA 02132
Suffolk County (617) 221-8000
GUSTAVO PERDOMO DMD PC
Dentist
1996 CENTRE ST STE 201
WEST ROXBURY, MA 02132
Suffolk County (508) 250-6936

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reliant Dental Group PC's NPI number?

The NPI number for Reliant Dental Group PC is 1104399443. It was assigned to this organization in the NPPES registry on January 9, 2019.

Where is Reliant Dental Group PC located?

Reliant Dental Group PC is located at 1996 Centre St Ste 201, West Roxbury, MA 02132. The listed phone number is (617) 221-8000.

What is Reliant Dental Group PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Reliant Dental Group PC was last updated on January 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.