Rustam K. De Vitre, Dmd

LBN: Rustam K. De Vitre, Dmd
Rustam K. De Vitre, Dmd is an health care organization with primary practice located at 392 Commonwealth Ave , Boston MA 02215. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Periodontics, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is the primary health care specialty. Rustam K. De Vitre, Dmd can be contacted via phone (617) 236-5969, or through De Vitre, Rustam K via phone (617) 236-5969.

Contact Information

Primary practice address
392 Commonwealth Ave Boston MA 02215
Phone: (617) 236-5969
Fax: (617) 424-6298
Website:
Map and Directions
Authorized official contact:
Name: De Vitre, Rustam K Doctor of Dental Medicine (DMD)
Phone: (617) 236-5969

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 20322 Massachusetts
Dental Providers / Periodontics 1223P0300X 18265 Massachusetts
Dental Providers / Prosthodontics 1223P0700X 13701 Massachusetts

Profile Details

NPI number 1457577884
LBN Legal business name Rustam K. De Vitre, Dmd
DBA Doing business as
Authorized official De Vitre, Rustam K Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Aug 27th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers