RUSTAM K. DE VITRE, DMD
NPI 1457577884
Dentist - Prosthodontics in Boston, MA

Active since April 17, 2007
392 COMMONWEALTH AVE, BOSTON, MA 02215(617) 236-5969(617) 424-6298 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rustam K. De Vitre, Dmd NPPES

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

RUSTAM K. DE VITRE, DMD (NPI 1457577884) is a healthcare organization registered as a prosthodontics in Boston, Massachusetts and active in the NPI registry since April 2007. The organization lists Rustam K De Vitre, Owner, as its authorized official.

NPPES Registry Identity

NPI1457577884
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameRUSTAM K. DE VITRE, DMD
Location Address392 COMMONWEALTH AVEBoston, MA 02215
Mailing Address392 Commonwealth AveBoston, MA 02215 · (617) 236-5969 · Fax (617) 424-6298
Fax(617) 424-6298
Organization SubpartNo
Authorized OfficialRustam K De VitreOwner · (617) 236-5969
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 27, 2008
NPI 1457577884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in MA · 13701
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License 20322 (MA)
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 18265 (MA)
392 COMMONWEALTH AVE, Boston, MA 02215

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 3

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

Clinic/Center (Dental)
392 COMMONWEALTH AVE
BOSTON, MA 02215
Dentist (Prosthodontics)
392 COMMONWEALTH AVE
BOSTON, MA 02215
Dentist (Prosthodontics)
392 COMMONWEALTH AVE
BOSTON, MA 02215

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 Rustam K. De Vitre, Dmd's NPI number?

The NPI number for Rustam K. De Vitre, Dmd is 1457577884. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Rustam K. De Vitre, Dmd located?

Rustam K. De Vitre, Dmd is located at 392 Commonwealth Ave, Boston, MA 02215. The listed phone number is (617) 236-5969.

What is Rustam K. De Vitre, Dmd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Rustam K. De Vitre, Dmd was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.