OrganizationActive
Bespoke Dental Boston
NPI 1124595111 · Dental Clinic/Center · Boston, MA
Bespoke Dental Boston is a Dental Clinic/Center organization in Boston, MA (NPI 1124595111).
Provider details
- NPI number
- 1124595111
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Balaban, Dental Director(617) 466-6688
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
11 Newbury St Fl 4
Boston, MA 02116-3138
Phone: (617) 466-6688
Street-level locationGet directions
Mailing address
48 Saint Germain St Apt 4
Boston, MA 02115-3241
Registry dates
- Enumerated
- 2018-10-28
- Last updated
- 2018-10-28
Frequently asked questions
- What is Bespoke Dental Boston's NPI number?
- Bespoke Dental Boston's National Provider Identifier (NPI) is 1124595111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bespoke Dental Boston?
- Bespoke Dental Boston is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bespoke Dental Boston located?
- Bespoke Dental Boston's practice location on file with NPPES is 11 Newbury St Fl 4, Boston, MA 02116-3138.
- What is Bespoke Dental Boston's phone number?
- The practice phone number listed in the NPPES registry for Bespoke Dental Boston is (617) 466-6688.
- Who is the authorized official for Bespoke Dental Boston?
- The authorized official listed on Bespoke Dental Boston's NPPES record is Christopher Balaban, Dental Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bespoke Dental Boston's NPI active?
- Yes — Bespoke Dental Boston's NPI (1124595111) is active in the NPPES registry as of the last update on 2018-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.