Healthcare Provider Details

I. General information

NPI: 1619810157
Provider Name (Legal Business Name): SOFT-TOUCH DENTISTRY OF BROOKLINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 BEACON ST STE 409
BROOKLINE MA
02446-5622
US

IV. Provider business mailing address

599 CAMBRIDGE ST
ALLSTON MA
02134-2436
US

V. Phone/Fax

Practice location:
  • Phone: 617-277-0033
  • Fax:
Mailing address:
  • Phone: 617-782-9250
  • Fax: 617-782-1232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: NAZILA BIDABADI
Title or Position: CHIEF DENTIST
Credential: DMD
Phone: 617-782-9250