OrganizationActive
Life Bridge Dental Ma PLLC
NPI 1730856196 · General Practice Dentistry · Boston, MA
Life Bridge Dental Ma PLLC is a General Practice Dentistry organization in Boston, MA (NPI 1730856196).
Provider details
- NPI number
- 1730856196
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Sullivan, Director, Rcm(615) 601-5250
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
12 Post Office Sq
Boston, MA 02109-3924
Phone: (212) 686-3686
Fax: (615) 468-0325
Street-level locationGet directions
Mailing address
Dept Ch 17135
Palatine, IL 60055-7135
Other names (DBA / former)
- Doing business as
- Tend Dental
Registry dates
- Enumerated
- 2021-08-24
- Last updated
- 2021-08-24
- Certified
- 2021-08-24
Frequently asked questions
- What is Life Bridge Dental Ma PLLC's NPI number?
- Life Bridge Dental Ma PLLC's National Provider Identifier (NPI) is 1730856196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Bridge Dental Ma PLLC?
- Life Bridge Dental Ma PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Life Bridge Dental Ma PLLC located?
- Life Bridge Dental Ma PLLC's practice location on file with NPPES is 12 Post Office Sq, Boston, MA 02109-3924.
- What is Life Bridge Dental Ma PLLC's phone number?
- The practice phone number listed in the NPPES registry for Life Bridge Dental Ma PLLC is (212) 686-3686.
- Who is the authorized official for Life Bridge Dental Ma PLLC?
- The authorized official listed on Life Bridge Dental Ma PLLC's NPPES record is Kenneth Sullivan, Director, Rcm. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Bridge Dental Ma PLLC's NPI active?
- Yes — Life Bridge Dental Ma PLLC's NPI (1730856196) is active in the NPPES registry as of the last update on 2021-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.