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

Organization Endodontics · NPI 1457577884

Rustam K. De Vitre, DMD is an Endodontics in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

392 Commonwealth Ave
Boston, MA 02215
Phone: (617) 236-5969
Fax: (617) 424-6298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 13701 (MA)
Endodontics Taxonomy 1223E0200X · Licence 20322 (MA)
Periodontics Taxonomy 1223P0300X · Licence 18265 (MA)

Record details

NPI number1457577884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rustam De Vitre — Owner · (617) 236-5969
NPI enumeratedApril 17, 2007
Last updated in NPPESAugust 27, 2008
Mailing address392 Commonwealth Ave, Boston, MA 02215

Other providers in Boston