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

Prashansa Gautam

Individual provider Dental Clinic/Center · NPI 1700636651

Prashansa Gautam is a Dental Clinic/Center in Boston, Massachusetts. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

50 S Huntington Ave
Boston, MA 02130-4713
Phone: (617) 232-9500
Show map & directions

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

Additional practice locations (1)

  • 22 College Dr, Stony Brook, NY 11790-2724 — (631) 624-5914

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1700636651
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address22 College Dr, Stony Brook, NY 11790-2724

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