OrganizationActive
Back Bay Dental Group LLC
NPI 1063758639 · Dentist · Boston, MA
Back Bay Dental Group LLC is a Dentist organization in Boston, MA (NPI 1063758639).
Provider details
- NPI number
- 1063758639
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Richard Miller, President(617) 921-6292
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21 Bay State Rd
Boston, MA 02215-2101
Phone: (617) 247-9966
Approximate (ZIP-level) locationGet directions
Mailing address
21 Bay State Rd
Boston, MA 02215-2101
Registry dates
- Enumerated
- 2012-12-29
- Last updated
- 2013-01-03
Frequently asked questions
- What is Back Bay Dental Group LLC's NPI number?
- Back Bay Dental Group LLC's National Provider Identifier (NPI) is 1063758639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Back Bay Dental Group LLC?
- Back Bay Dental Group LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Back Bay Dental Group LLC located?
- Back Bay Dental Group LLC's practice location on file with NPPES is 21 Bay State Rd, Boston, MA 02215-2101.
- What is Back Bay Dental Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Back Bay Dental Group LLC is (617) 247-9966.
- Who is the authorized official for Back Bay Dental Group LLC?
- The authorized official listed on Back Bay Dental Group LLC's NPPES record is Richard Miller, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Back Bay Dental Group LLC's NPI active?
- Yes — Back Bay Dental Group LLC's NPI (1063758639) is active in the NPPES registry as of the last update on 2013-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.