WOBURN STREET DENTAL, PC
NPI 1740629724
Dentist in Medford, MA

Q: What is Woburn Street Dental, PC's NPI number?

The NPI number for Woburn Street Dental, PC is 1740629724. It was assigned to this organization in the NPPES registry on June 23, 2013.

Q: What is Woburn Street Dental, PC's specialty?

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

Active since June 23, 2013

18 WOBURN ST, MEDFORD, MA 02155(781) 396-1414(781) 396-9238 Get Directions Write a Review

NPPES record last updated: June 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Woburn Street Dental, Pc NPPES

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

WOBURN STREET DENTAL, PC (NPI 1740629724) is a healthcare organization registered as a dentist in Medford, Massachusetts and active in the NPI registry since June 2013. The organization lists Boris Bacanurschi, Owner, as its authorized official.

NPPES Registry Identity

NPI1740629724

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameWOBURN STREET DENTAL, PC

Location Address18 WOBURN STMedford, MA 02155-3428

Mailing Address18 Woburn StMedford, MA 02155-3428 · (781) 396-1414 · Fax (781) 396-9238

Phone(781) 396-1414

Fax(781) 396-9238

Organization SubpartNo

Authorized OfficialBoris BacanurschiOwner · (781) 396-1414

Enumeration DateJune 23, 2013

✔ NPI 1740629724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MA · 21583

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.

18 WOBURN ST, Medford, MA 02155

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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

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 Woburn Street Dental, PC's NPI number?

The NPI number for Woburn Street Dental, PC is 1740629724. It was assigned to this organization in the NPPES registry on June 23, 2013.

Where is Woburn Street Dental, PC located?

Woburn Street Dental, PC is located at 18 Woburn St, Medford, MA 02155. The listed phone number is (781) 396-1414.

What is Woburn Street Dental, 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 Woburn Street Dental, PC was last updated on June 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.