OrganizationActive
Gabriel Boustani DMD PC
NPI 1306235064 · Periodontics · Brookline, MA
Provider details
- NPI number
- 1306235064
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Gabriel Boustani, President(617) 640-4637
- License
- 21631 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1540 Beacon St
Brookline, MA 02446-2215
Phone: (617) 738-1950
Street-level locationGet directions
Mailing address
140 Greenwood St
Newton, MA 02459-3013
Registry dates
- Enumerated
- 2015-01-20
- Last updated
- 2015-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.