| NPI | 1982757506 |
|---|---|
| Doing Business As | BOSTON UNIVERSITY HENRY M. GOLDMAN SCHOOL OF DENTAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARTIN HOWARD Senior VP, CFO & Treasurer 617-353-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 4954) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 4954) |
| 1223E0200X Dentist, Endodontics (Licence: MA 4954) | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (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 | 2007-01-18 |
| Last Update Date | 2016-12-01 |