OrganizationActive
Cdg Back Bay LLC
NPI 1114533866 · Dental Clinic/Center · Boston, MA
Cdg Back Bay LLC is a Dental Clinic/Center organization in Boston, MA (NPI 1114533866).
Provider details
- NPI number
- 1114533866
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kostantina Giannacopoulos, Dental Director(617) 266-8770
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
400 Commonwealth Ave 3rd Floor
Boston, MA 02215
Phone: (617) 266-8770
Fax: (617) 266-9530
Street-level locationGet directions
Mailing address
400 Commonwealth Ave 3rd Floor
Boston, MA 02215
Other names (DBA / former)
- Doing business as
- Commonwealth Dental Group
- Doing business as
- Commonwealth Dental Group
Registry dates
- Enumerated
- 2020-09-18
- Last updated
- 2024-10-27
- Certified
- 2024-10-27
Frequently asked questions
- What is Cdg Back Bay LLC's NPI number?
- Cdg Back Bay LLC's National Provider Identifier (NPI) is 1114533866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cdg Back Bay LLC?
- Cdg Back Bay LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Cdg Back Bay LLC located?
- Cdg Back Bay LLC's practice location on file with NPPES is 400 Commonwealth Ave 3rd Floor, Boston, MA 02215.
- What is Cdg Back Bay LLC's phone number?
- The practice phone number listed in the NPPES registry for Cdg Back Bay LLC is (617) 266-8770.
- Who is the authorized official for Cdg Back Bay LLC?
- The authorized official listed on Cdg Back Bay LLC's NPPES record is Kostantina Giannacopoulos, Dental Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cdg Back Bay LLC's NPI active?
- Yes — Cdg Back Bay LLC's NPI (1114533866) is active in the NPPES registry as of the last update on 2024-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.