IndividualActive
Prashansa Gautam
NPI 1700636651 · Dental Clinic/Center · Boston, MA
Prashansa Gautam is a Dental Clinic/Center provider in Boston, MA (NPI 1700636651).
Provider details
- NPI number
- 1700636651
- Entity type
- Individual
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
50 S Huntington Ave
Boston, MA 02130-4713
Phone: (617) 232-9500
Street-level locationGet directions
Mailing address
22 College Dr
Stony Brook, NY 11790-2724
Additional practice locations (1)
- 22 College DrStony Brook, NY 11790-2724Phone: (631) 624-5914
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2024-03-25
- Certified
- 2024-03-25
Frequently asked questions
- What is Prashansa Gautam's NPI number?
- Prashansa Gautam's National Provider Identifier (NPI) is 1700636651, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prashansa Gautam's specialty?
- Prashansa Gautam is listed in the NPPES registry with a primary specialty of Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prashansa Gautam located?
- Prashansa Gautam's practice location on file with NPPES is 50 S Huntington Ave, Boston, MA 02130-4713.
- What is Prashansa Gautam's phone number?
- The practice phone number listed in the NPPES registry for Prashansa Gautam is (617) 232-9500.
- Is Prashansa Gautam's NPI active?
- Yes — Prashansa Gautam's NPI (1700636651) is active in the NPPES registry as of the last update on 2024-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.