Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRASHANSA GAUTAM
Active Sole ProprietorDental Clinic · BOSTON, MA
Registration Details
- NPI Number
- 1700636651
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 25, 2024 (2.093640469017 yrs)
- Last Updated
- Mar 25, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
50 S HUNTINGTON AVEBOSTON, MA, 021304713Browse MA providers · Browse ZIP 02130
- Phone
- 6172329500
- Primary Specialty
-
Dental Clinic
261QD0000X
Other Dental Clinic Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| TURKI ALANSARI | — | 1598500993 |
| MESHAL ABDULLAH ALMALKI | — | 1538991062 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.