National Provider Identifier
Boston Dental LLC
Boston Dental LLC is listed in the NPPES registry with a primary specialty of Dentist in Boston, NY and a listed phone number of (716) 941-5433.
Source: public NPPES record, last updated January 18, 2011. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1265737571
- Provider Type
- Organization
- Primary Specialty
- Dentist
- Enumeration Date
- January 18, 2011
- Last Updated
- January 18, 2011
Practice Location
- 8397 Boston State RD
- Boston, NY 14025-9651
Phone: (716) 941-5433
Authorized Official
- Name
- Dr. Charles Alan Matlach
- Title
- Owner
- Credentials
- D.D.S.
- Phone
- (716) 941-5433
Specialties
- Dentist (122300000X)
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Full Record
- NPI
- 1265737571
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Boston Dental LLC
- Mailing Street Address
- 8397 Boston State RD
- Mailing City
- Boston
- Mailing State
- NY
- Mailing ZIP Code
- 14025-9651
- Mailing Country
- US
- Mailing Phone
- (716) 941-5433
- Practice Street Address
- 8397 Boston State RD
- Practice City
- Boston
- Practice State
- NY
- Practice ZIP Code
- 14025-9651
- Practice Country
- US
- Practice Phone
- (716) 941-5433
- Enumeration Date
- January 18, 2011
- Last Updated
- January 18, 2011
- Authorized Official Last Name
- Matlach
- Authorized Official First Name
- Charles
- Authorized Official Middle Name
- Alan
- Authorized Official Title
- Owner
- Authorized Official Phone
- (716) 941-5433
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- D.D.S.
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)