Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coolidge Corner Dental

Organization General Practice Dentistry · NPI 1861118721

Coolidge Corner Dental is a 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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