| NPI | 1922272921 | 
|---|---|
| Doing Business As | BOSTON UNIVERSITY GOLDMAN SCHOOL OF DENTAL MEDICINE | 
| Entity Type | Organization | 
| Authorized Contact | JEFFREY W HUTTER Dean Ad Interim 617-638-4780 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 4954) | 
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA 4954) | 
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 4954) | |
| 1223P0300X Dentist, Periodontics (Licence: MA 4954) | |
| 1223P0700X Dentist, Prosthodontics (Licence: MA 4954) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 4954) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 4954) | |
| 124Q00000X Dental Hygienist (Licence: MA 4954) | |
| Enumeration Date | 2008-04-22 | 
| Last Update Date | 2008-04-22 |