Boston Dental Restorative Group, LLC

NPI #1972999233 in Boston, Massachusetts

Provider Information

NPI Number: 1972999233
Entity Type: Organization
Organization Name: Boston Dental Restorative Group, LLC
Primary Specialty: Dentist
Enumeration Date: Apr 13, 2015
Last Updated: Apr 13, 2015

Practice Location

Address: 25 NEW CHARDON ST
Address 2: SUITE 102
City: Boston
State: Massachusetts
ZIP Code: 02114-4774
Phone: (617) 227-4924

Authorized Official

Name: DR. ALEXANDER RENE SCHROTT, DMD, MMSC
Title: MANAGING DIRECTOR
Phone: (617) 227-4924

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Prosthodontics — Prosthodontics	1223P0700X
Dentist	122300000X	Primary

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