COMMONWEALTH DENTAL GROUP
NPI 1114533866
Clinic/Center - Dental in Boston, MA

Q: What is Cdg Back Bay LLC's NPI number?

The NPI number for Cdg Back Bay LLC is 1114533866. It was assigned to this organization in the NPPES registry on September 18, 2020. The provider is doing business as Commonwealth Dental Group.

Q: What is Cdg Back Bay LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Q: When was this NPI record last updated?

The NPPES record for Cdg Back Bay LLC was last updated on October 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 18, 2020

400 COMMONWEALTH AVE 3RD FLOOR, BOSTON, MA 02215(617) 266-8770(617) 266-9530 Get Directions Write a Review

NPPES record last updated: October 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Commonwealth Dental Group NPPES

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

COMMONWEALTH DENTAL GROUP (NPI 1114533866) is a healthcare organization registered as a dental in Boston, Massachusetts and active in the NPI registry since September 2020. The organization lists Kostantina Tina Giannacopoulos, Dental Director, as its authorized official.

NPPES Registry Identity

NPI1114533866

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameCDG BACK BAY LLC

Location Address400 COMMONWEALTH AVE 3RD FLOORBoston, MA 02215

Mailing Address400 Commonwealth Ave 3rd FloorBoston, MA 02215 · (617) 266-8770 · Fax (617) 266-9530

Phone(617) 266-8770

Fax(617) 266-9530

Organization SubpartNo

Authorized OfficialKostantina Tina GiannacopoulosDental Director · (617) 266-8770

Enumeration DateSeptember 18, 2020

Last NPPES UpdateOctober 27, 2024

NPPES CertifiedOctober 27, 2024

✔ NPI 1114533866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

400 COMMONWEALTH AVE 3RD FLOOR, Boston, MA 02215

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Other Names 1

Doing Business AsCommonwealth Dental Group

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 Cdg Back Bay LLC's NPI number?

The NPI number for Cdg Back Bay LLC is 1114533866. It was assigned to this organization in the NPPES registry on September 18, 2020. The provider is doing business as Commonwealth Dental Group.

Where is Cdg Back Bay LLC located?

Cdg Back Bay LLC is located at 400 Commonwealth Ave 3rd Floor, Boston, MA 02215. The listed phone number is (617) 266-8770.

What is Cdg Back Bay LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Cdg Back Bay LLC was last updated on October 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.