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

Samuel Ustayev, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811538705

Samuel Ustayev, DMD is a Student in an Organized Health Care Education/Training Program in Brookline, Massachusetts. Practices as a sole proprietor and works from 4 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

367 Harvard St
Brookline, MA 02446-2938
Phone: (617) 277-1112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1842 Beacon St Ste 301, Brookline, MA 02445-1922 — (617) 232-8113
  • 1259 Hyde Park Ave Ste 102, Hyde Park, MA 02136-2817 — (617) 364-5500
  • 399 Belgrade Ave, West Roxbury, MA 02132-1548 — (617) 325-0101

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN1858649 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811538705
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 2, 2019
Last updated in NPPESOctober 23, 2022
Certification dateOctober 23, 2022
Mailing address32 Traveler St Unit 212, Boston, MA 02118-2843

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