Hirshberg Dental Assoc Of Boston PC
Dentist, Prosthodontics in Boston, MA. Organization (NPI-2).
NPI number1104999028
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1104999028
- Entity type
- Organization (NPI-2)
- Legal business name
- Hirshberg Dental Assoc Of Boston PC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | 18148 | MA | Yes |
| 1223G0001X | Dentist, General Practice | 12892 | MA | |
| 1223G0001X | Dentist, General Practice | 19169 | MA |
Practice location
12 Post Office SquareBoston, MA 02109
Phone 617-542-8808 · Fax 617-451-1912
Mailing address
12 Post Office SquareBoston, MA 02109
Phone 617-542-8808 · Fax 617-451-1912
Authorized official
James Mark Hirshberg
President
6175428808
Is something wrong?
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