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SAMUEL USTAYEV DMD
NPI 1811538705
Dentist - General Practice in Brookline, MA

Active since October 02, 2019
367 HARVARD ST, BROOKLINE, MA 02446(617) 277-1112 Get Directions Write a Review

NPPES record last updated: October 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2022, Oct 2, 2020, Oct 2, 2019 (3 updates tracked since 2019).

About Samuel Ustayev Dmd NPPES

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

SAMUEL USTAYEV DMD (NPI 1811538705) is an individual general practice provider in Brookline, Massachusetts, licensed in Massachusetts (DN1858649) and active in the NPI registry since October 2019. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1811538705
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSAMUEL USTAYEVCredential: DMD
Location Address367 HARVARD STBrookline, MA 02446-2938
Mailing Address32 Traveler St Unit 212Boston, MA 02118-2843 · (617) 938-9161
Phone(617) 277-1112
Sole ProprietorYes
Enumeration DateOctober 2, 2019
Last NPPES UpdateOctober 23, 20223 updates tracked since enumeration
NPPES CertifiedOctober 23, 2022
✔ NPI 1811538705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · DN1858649
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
367 HARVARD ST, Brookline, MA 02446
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11842 Beacon St Ste 301Brookline, MA 02445-1922 · Phone (617) 232-8113
Location 2399 Belgrade AveWest Roxbury, MA 02132-1548 · Phone (617) 325-0101
Location 31259 Hyde Park Ave Ste 102Hyde Park, MA 02136-2817 · Phone (617) 364-5500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

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.

DRS BURTON GOLDFARB & DANIEL GOLDFARB, DMD, PC
Dentist (General Practice)
367 HARVARD ST
BROOKLINE, MA 02446
Norfolk County (617) 277-1112
DR. DANIEL AARON GOLDFARB D.M.D.
Dentist (General Practice)
367 HARVARD ST
BROOKLINE, MA 02446
Norfolk County (617) 277-1112
DR. SHUBHA NANDA D.M.D.
Dentist (General Practice)
367 HARVARD ST
BROOKLINE, MA 02446
Norfolk County (617) 277-1112
COOLIDGE CORNER DENTAL
Dentist (General Practice)
367 HARVARD ST
BROOKLINE, MA 02446
Norfolk County (617) 938-9161

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 Samuel Ustayev's NPI number?

The NPI number for Samuel Ustayev is 1811538705. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Samuel Ustayev located?

Samuel Ustayev practices at 367 Harvard St, Brookline, MA 02446. The listed phone number is (617) 277-1112.

What is Samuel Ustayev's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Samuel Ustayev accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Samuel Ustayev as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Ustayev was last updated on October 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.