Healthcare Provider Details

I. General information

NPI: 1205752151
Provider Name (Legal Business Name): BOSTON DENTAL SLEEP SOLUTIONS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 BROADWAY
EVERETT MA
02149-3425
US

IV. Provider business mailing address

373 BROADWAY
EVERETT MA
02149-3425
US

V. Phone/Fax

Practice location:
  • Phone: 781-690-0044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: GARIMA RANA
Title or Position: OWNER
Credential: DMD
Phone: 646-287-6946