OrganizationActive
Gustavo Perdomo DMD PC
NPI 1578042669 · Dentist · West Roxbury, MA
Gustavo Perdomo DMD PC is a Dentist organization in West Roxbury, MA (NPI 1578042669).
Provider details
- NPI number
- 1578042669
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Thiago Soares, Administrator(508) 250-6936
Specialties & taxonomies
Dental Providers
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
1996 Centre St Ste 201
West Roxbury, MA 02132-3330
Phone: (508) 250-6936
Street-level locationGet directions
Mailing address
1996 Centre St Ste 201
West Roxbury, MA 02132-3330
Other names (DBA / former)
- Doing business as
- Reliant Dental Group
Registry dates
- Enumerated
- 2018-08-09
- Last updated
- 2018-08-09
Frequently asked questions
- What is Gustavo Perdomo DMD PC's NPI number?
- Gustavo Perdomo DMD PC's National Provider Identifier (NPI) is 1578042669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gustavo Perdomo DMD PC?
- Gustavo Perdomo DMD PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Gustavo Perdomo DMD PC located?
- Gustavo Perdomo DMD PC's practice location on file with NPPES is 1996 Centre St Ste 201, West Roxbury, MA 02132-3330.
- What is Gustavo Perdomo DMD PC's phone number?
- The practice phone number listed in the NPPES registry for Gustavo Perdomo DMD PC is (508) 250-6936.
- Who is the authorized official for Gustavo Perdomo DMD PC?
- The authorized official listed on Gustavo Perdomo DMD PC's NPPES record is Thiago Soares, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gustavo Perdomo DMD PC's NPI active?
- Yes — Gustavo Perdomo DMD PC's NPI (1578042669) is active in the NPPES registry as of the last update on 2018-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.