DR. LEONARD BRUCE KABAN DMD MD
NPI 1902897325
Oral & Maxillofacial Surgery in Boston, MA

Active since November 03, 2005PECOS Enrolled
15 PARKMAN ST, WAC 230 ORAL AND MAXILLOFACIAL SURGERY, BOSTON, MA 02114(617) 726-8222(617) 726-2814 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Leonard Bruce Kaban Dmd Md NPPES

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

DR. LEONARD BRUCE KABAN DMD MD (NPI 1902897325) is an individual oral & maxillofacial surgery provider in Boston, Massachusetts, licensed in Massachusetts (36801) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902897325
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. LEONARD BRUCE KABANCredential: DMD MD
Location Address15 PARKMAN ST, WAC 230 ORAL AND MAXILLOFACIAL SURGERYBoston, MA 02114-3117
Mailing AddressPo Box 9142, Mass General Physician OrganizationCharlestown, MA 02129-9142 · (617) 724-0287 · Fax (617) 726-2894
Fax(617) 726-2814
Sole ProprietorNo
Enumeration DateNovember 3, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1902897325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in MA · 36801
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

15 PARKMAN ST, Boston, MA 02114

Other Identifiers 5

Medicaid2022931MA
OtherM08668MA · Bcbs Ma
Medicare UPINB76999
Other700142MA · Tufts Health Plan
Medicare ID-Type UnspecifiedM08668MA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Leonard Bruce Kaban Dmd Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
15 PARKMAN ST, SUITE 645, WACC
BOSTON, MA 02114
Urology
15 PARKMAN ST, SUITE 486
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
15 PARKMAN ST, MASSACHUSETTS GENERAL HOSPITAL, WAC-812
BOSTON, MA 02114
Internal Medicine
15 PARKMAN ST, WAC 615 INTERNAL MEDICINE ASSOCIATES TEAM 2
BOSTON, MA 02114
Internal Medicine
15 PARKMAN ST, WANG AMBULATORY CARE UNIT, SUITE 108
BOSTON, MA 02114
Surgery
15 PARKMAN ST, WAC 716
BOSTON, MA 02114
Psychologist
15 PARKMAN ST, WAC 812
BOSTON, MA 02114
Plastic Surgery
15 PARKMAN ST, MGH WACC SUITE 435
BOSTON, MA 02114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902897325, enumerated as an "individual" on November 03, 2005.

The provider is located at 15 PARKMAN ST WAC 230 ORAL AND MAXILLOFACIAL SURGERY BOSTON, MA 02114 and the phone number is (617) 726-8222.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.