Search › Massachusetts › 1223G0001X
Samuel Ustayev, DMD
NPI 1811538705 · on the registry since 2019 · sole proprietor
Practice
- Address
- 367 Harvard St
Brookline, MA 02446 - Phone
- (617) 277-1112
- Organisation at this address
- Coolidge Corner Dental
Drs Burton Goldfarb & Daniel Goldfarb, Dmd, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 1842 Beacon St Ste 301, Brookline, MA
- 399 Belgrade Ave, West Roxbury, MA
- 1259 Hyde Park Ave Ste 102, Hyde Park, MA
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts