Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Coolidge Corner Dental

Organization General Practice Dentistry · NPI 1861118721

Coolidge Corner Dental provides General Practice Dentistry in Brookline, Massachusetts. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

367 Harvard St
Brookline, MA 02446-2938
Phone: (617) 938-9161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1861118721
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Ustayev — President/ Dentist · (617) 938-9161
NPI enumeratedOctober 12, 2022
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing address32 Traveler St Unit 212, Boston, MA 02118-2843

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