DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. GABRIEL BOUSTANI D.M.D., M.S.D.

MEDICARE: DR. GABRIEL BOUSTANI D.M.D., M.S.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0300XPeriodontics21631MA

General Provider Information

NPI Number : 1740216084
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GABRIEL BOUSTANI D.M.D., M.S.D.
Provider Business Mailing Address
First Line : 140 GREENWOOD ST
Second Line :
City : NEWTON
State : MA
Zip : 02459-3013
Country : US
Telephone Number : 617-640-4637
Fax Number :
Provider Business Practice Location Address
First Line : 1540 BEACON ST
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-2215
Country : US
Telephone Number : 617-738-1950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2006
Last Update Date : 01/23/2015

Similar Medicare Providers

1447254966 — DR. JUSTINE R KELLEY DMD
Practice Location Address:
1540 BEACON ST
BROOKLINE, MA
02446-2215
Practice Phone: 617-738-1950
Practice Fax:
1346263381 — KENNETH ALLAN LAWTON DPM
Practice Location Address:
1540 BEACON ST
BROOKLINE, MA
02446-2215
Practice Phone: 617-566-2756
Practice Fax: 617-566-0275
1972690691 — DR. RYAN DOUGLAS BLISSETT D.M.D.
Practice Location Address:
1540 BEACON ST
BROOKLINE, MA
02446-2215
Practice Phone: 617-738-1950
Practice Fax:
1871654988 — DR. BARBARA TOOMEY HAUSCHKA D.M.D.
Practice Location Address:
1540 BEACON ST
BROOKLINE, MA
02446-2215
Practice Phone: 617-738-1950
Practice Fax: 617-734-0673
1417144965 — ELITE DENTAL, INC.
Practice Location Address:
1540 BEACON ST
BROOKLINE, MA
02446-2215
Practice Phone: 617-738-1950
Practice Fax: 978-658-2579
1861664286 — JOHN VARGAS D.D.S. , P.C.
Practice Location Address:
1540 BEACON ST
BROOKLINE, MA
02446-2215
Practice Phone: 617-738-1950
Practice Fax:

Directions to “ DR. GABRIEL BOUSTANI D.M.D., M.S.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.