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LIFE BRIDGE DENTAL MA PLLC
NPI 1730856196
Dentist - General Practice in Boston, MA

Active since August 24, 2021
12 POST OFFICE SQ, BOSTON, MA 02109(212) 686-3686(615) 468-0325 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Bridge Dental Ma Pllc NPPES

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

LIFE BRIDGE DENTAL MA PLLC (NPI 1730856196), doing business as Tend Dental, is a healthcare organization registered as a general practice in Boston, Massachusetts and active in the NPI registry since August 2021. The organization lists Kenneth N Sullivan, Director, Rcm, as its authorized official.

NPPES Registry Identity

NPI1730856196
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFE BRIDGE DENTAL MA PLLC
Location Address12 POST OFFICE SQBoston, MA 02109-3924
Mailing AddressDept Ch 17135Palatine, IL 60055-7135 · (212) 686-3686 · Fax (615) 468-0325
Phone(212) 686-3686
Fax(615) 468-0325
Organization SubpartNo
Authorized OfficialKenneth N SullivanDirector, Rcm · (615) 601-5250
Enumeration DateAugust 24, 2021
NPPES CertifiedAugust 24, 2021
✔ NPI 1730856196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
12 POST OFFICE SQ, Boston, MA 02109
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Other Names 1

Doing Business AsTend Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

SAMANTHA ANNE PHILIP
Dentist
12 POST OFFICE SQ
BOSTON, MA 02109
Suffolk County (617) 542-8808
DR. JAMES MARK HIRSHBERG DMD
Dentist (General Practice)
12 POST OFFICE SQ
BOSTON, MA 02109
Suffolk County (617) 542-8808
KERON KAMALI WILLIAMS
Dental Assistant
12 POST OFFICE SQ
BOSTON, MA 02109
Suffolk County (212) 686-3686
DR. SUSAN F ROSENFELD DMD MPH
Dentist (General Practice)
12 POST OFFICE SQ, HIRSHBERG DENTAL GROUP
BOSTON, MA 02109
Suffolk County (617) 542-8808

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 Life Bridge Dental Ma PLLC's NPI number?

The NPI number for Life Bridge Dental Ma PLLC is 1730856196. It was assigned to this organization in the NPPES registry on August 24, 2021. The provider is doing business as Tend Dental.

Where is Life Bridge Dental Ma PLLC located?

Life Bridge Dental Ma PLLC is located at 12 Post Office Sq, Boston, MA 02109. The listed phone number is (212) 686-3686.

What is Life Bridge Dental Ma PLLC'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 Life Bridge Dental Ma PLLC was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.