Healthcare Provider Details

I. General information

NPI: 1093698474
Provider Name (Legal Business Name): NIKOLAOS SCHOINAS OR SHINAS DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 ALBANY ST
BOSTON MA
02118-3550
US

IV. Provider business mailing address

72 EAST CONCORD STREET ROBINSON (B) ROOM 334
BOSTON MA
02118
US

V. Phone/Fax

Practice location:
  • Phone: 617-358-8300
  • Fax:
Mailing address:
  • Phone: 617-358-5170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0008X
TaxonomyOral and Maxillofacial Radiology Dentistry
License NumberDF100026
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: