TUFTS ORAL MEDICINE CLINIC - NPI 1457636029 - Clinic/Center in Boston, MA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

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About Tufts Oral Medicine Clinic NPPES

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

TUFTS ORAL MEDICINE CLINIC (NPI 1457636029) is a healthcare organization registered as a dental in Boston, Massachusetts and active in the NPI registry since October 2011. The organization holds a CLIA Certificate of Compliance certificate valid through September 16, 2026 and lists Athena S Papas, Director, as its authorized official.

NPPES Registry Identity

NPI1457636029

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameTRUSTEES OF TUFTS COLLEGE

Location Address1 KNEELAND ST FL 6Boston, MA 02111-1527

Mailing Address1 Kneeland St Fl 6Boston, MA 02111-1527 · (617) 636-3932

Phone(617) 636-3932

Organization SubpartYes

Authorized OfficialAthena S PapasDirector · (617) 636-3932

Enumeration DateOctober 14, 2011

Last NPPES UpdateDecember 6, 2024

NPPES CertifiedDecember 6, 2024

✔ NPI 1457636029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in MA · 12641

1 KNEELAND ST FL 6, Boston, MA 02111

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Other Names 1

Doing Business AsTufts Oral Medicine Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 22D0650217

Tufts Oral Pathology Services · Boston, MA

Active · expires Sep 16, 2026

CLIA Number22D0650217

Laboratory TypeIndependent

Certificate Effective DateSeptember 17, 2024

Certificate Expiration DateSeptember 16, 2026

Laboratory DirectorMark Lerman

Laboratory Phone(617) 636-3723

Laboratory LocationTufts Oral Pathology Services1 Kneeland St, Boston, MA 02111

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

TRUSTEES OF TUFTS COLLEGE

Psychologist