Healthcare Provider Details

I. General information

NPI: 1154019958
Provider Name (Legal Business Name): ROSE DOBRINSKY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROSE JOSEPH

II. Dates (important events)

Enumeration Date: 04/28/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HARVARD DENTAL CENTER 188 LONGWOOD AVE
BOSTON MA
02115
US

IV. Provider business mailing address

HARVARD DENTAL CENTER 188 LONGWOOD AVE
BOSTON MA
02115
US

V. Phone/Fax

Practice location:
  • Phone: 617-432-1434
  • Fax: 617-423-4258
Mailing address:
  • Phone: 617-432-1434
  • Fax: 617-423-4258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDN1859826
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: