Andre Barbisan De Souza, DMD
NPI 1114393634 · Prosthodontics · Boston, MA
Andre Barbisan De Souza, DMD is a Prosthodontics provider in Boston, MA (NPI 1114393634).
Provider details
- NPI number
- 1114393634
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DF11685 (MA)
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-08-19
- Last updated
- 2021-05-19
- Certified
- 2021-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.