OrganizationActive
Life Bridge Dental Ma PLLC
NPI 1730856196 · General Practice Dentistry · Boston, MA
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
4 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.