FRED G. BOUSTANY D.M.D.,PC
NPI 1710013172
Dentist - General Practice in Boston, MA

Active since February 27, 2007
36 CHAUNCY ST, BOSTON, MA 02111(617) 338-5000(617) 338-1039 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fred G. Boustany D.m.d.,pc NPPES

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

FRED G. BOUSTANY D.M.D.,PC (NPI 1710013172) is a healthcare organization registered as a general practice in Boston, Massachusetts and active in the NPI registry since February 2007. The organization lists Fred G. Boustany, President, as its authorized official.

NPPES Registry Identity

NPI1710013172
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOSTON DENTAL
Location Address36 CHAUNCY STBoston, MA 02111-2209
Mailing Address36 Chauncy StBoston, MA 02111-2209 · (617) 338-5000 · Fax (617) 338-1039
Fax(617) 338-1039
Organization SubpartNo
Authorized OfficialFred G. BoustanyPresident · (617) 338-5000
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1710013172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MA · 15733
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.
36 CHAUNCY ST, Boston, MA 02111

Other Names 1

Doing Business AsFred G. Boustany D.m.d.,pc

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 9

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

Dentist (General Practice)
36 CHAUNCY ST
BOSTON, MA 02111
Dentist (Orthodontics and Dentofacial Orthopedics)
36 CHAUNCY ST
BOSTON, MA 02111
Dentist
36 CHAUNCY ST
BOSTON, MA 02111
Dentist (General Practice)
36 CHAUNCY ST
BOSTON, MA 02111
Dentist
36 CHAUNCY ST
BOSTON, MA 02111
Dentist
36 CHAUNCY ST
BOSTON, MA 02111
Dentist
36 CHAUNCY ST
BOSTON, MA 02111
Dentist
36 CHAUNCY ST
BOSTON, MA 02111

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 Boston Dental's NPI number?

The NPI number for Boston Dental is 1710013172. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Fred G. Boustany D.M.D.,pc.

Where is Boston Dental located?

Boston Dental is located at 36 Chauncy St, Boston, MA 02111. The listed phone number is (617) 338-5000.

What is Boston Dental'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 Boston Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.