OrganizationActive
Smile Design Boston
NPI 1992294979 · Periodontics · Boston, MA
Provider details
- NPI number
- 1992294979
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Andre Hashem, Owner(617) 840-0627
- License
- DN1856740 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
21 Custom House St Ste 110
Boston, MA 02110-3525
Phone: (617) 840-0627
Street-level locationGet directions
Mailing address
15 Waverly St Apt 260
Brighton, MA 02135-1245
Other names (DBA / former)
- Doing business as
- Smile Design Boston
Registry dates
- Enumerated
- 2018-05-06
- Last updated
- 2018-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.