IndividualActive
Constantinos Laskarides, DMD, DDS, PHARMD
NPI 1215138672 · Oral and Maxillofacial Surgery (Dentist) · Boston, MA
Provider details
- NPI number
- 1215138672
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD, DDS, PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN1855296 (MA)
Specialties & taxonomies
Dental Providers
Practice location
1 Kneeland St Rm 503
Boston, MA 02111-1527
Phone: (617) 636-6648
Fax: (617) 636-6809
Approximate (ZIP-level) locationGet directions
Mailing address
1 Kneeland St Rm 503
Boston, MA 02111-1527
Additional practice locations (1)
- 9a Dr Osman Babson RdGloucester, MA 01930-1812Phone: (978) 281-3772Fax: (978) 281-0316
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2024-07-16
- Certified
- 2024-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.