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RELIANT DENTAL GROUP
NPI 1578042669
Dentist in West Roxbury, MA

Active since August 09, 2018
1996 CENTRE ST STE 201, WEST ROXBURY, MA 02132(508) 250-6936 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Reliant Dental Group NPPES

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

RELIANT DENTAL GROUP (NPI 1578042669) is a healthcare organization registered as a dentist in West Roxbury, Massachusetts and active in the NPI registry since August 2018. The organization lists Thiago Soares, Administrator, as its authorized official.

NPPES Registry Identity

NPI1578042669
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGUSTAVO PERDOMO DMD PC
Location Address1996 CENTRE ST STE 201West Roxbury, MA 02132-3330
Mailing Address1996 Centre St Ste 201West Roxbury, MA 02132-3330 · (508) 250-6936
Phone(508) 250-6936
Organization SubpartNo
Authorized OfficialThiago SoaresAdministrator · (508) 250-6936
Enumeration DateAugust 9, 2018
✔ NPI 1578042669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1996 CENTRE ST STE 201, West Roxbury, MA 02132
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Other Names 1

Doing Business AsReliant Dental Group

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.

RELIANT DENTAL GROUP PC
Dentist (General Practice)
1996 CENTRE ST STE 201
WEST ROXBURY, MA 02132
Suffolk County (617) 221-8000
AI LIN YU
Dentist (General Practice)
1996 CENTRE ST STE 201
WEST ROXBURY, MA 02132
Suffolk County (617) 221-8000

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 Gustavo Perdomo Dmd PC's NPI number?

The NPI number for Gustavo Perdomo Dmd PC is 1578042669. It was assigned to this organization in the NPPES registry on August 9, 2018. The provider is doing business as Reliant Dental Group.

Where is Gustavo Perdomo Dmd PC located?

Gustavo Perdomo Dmd PC is located at 1996 Centre St Ste 201, West Roxbury, MA 02132. The listed phone number is (508) 250-6936.

What is Gustavo Perdomo Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Gustavo Perdomo Dmd PC was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.