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SMILE DESIGN BOSTON
NPI 1992294979
Dentist - Periodontics in Boston, MA

Active since May 06, 2018
21 CUSTOM HOUSE ST STE 110, BOSTON, MA 02110(617) 840-0627 Get Directions Write a Review

NPPES record last updated: May 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smile Design Boston NPPES

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

SMILE DESIGN BOSTON (NPI 1992294979) is a healthcare organization registered as a periodontics in Boston, Massachusetts and active in the NPI registry since May 2018. The organization lists Andre Hashem, Owner, as its authorized official.

NPPES Registry Identity

NPI1992294979
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSMILE DESIGN BOSTON
Location Address21 CUSTOM HOUSE ST STE 110Boston, MA 02110-3525
Mailing Address15 Waverly St Apt 260Brighton, MA 02135-1245 · (617) 840-0627
Phone(617) 840-0627
Organization SubpartNo
Authorized OfficialAndre HashemOwner · (617) 840-0627
Enumeration DateMay 6, 2018
✔ NPI 1992294979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MA · DN1856740
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
21 CUSTOM HOUSE ST STE 110, Boston, MA 02110
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Other Names 1

Doing Business AsSmile Design Boston

Other Identifiers 2

Other1487727301Blue Cross Blue Shield Dental
Other1487727301Delta Dental Premier

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

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 Smile Design Boston's NPI number?

The NPI number for Smile Design Boston is 1992294979. It was assigned to this organization in the NPPES registry on May 6, 2018.

Where is Smile Design Boston located?

Smile Design Boston is located at 21 Custom House St Ste 110, Boston, MA 02110. The listed phone number is (617) 840-0627.

What is Smile Design Boston's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Smile Design Boston was last updated on May 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.