Back Bay Dental Group LLC
NPI 1063758639ActiveOrganization· Dentist· Boston, MA
Dentist in Boston, Massachusetts, registered in NPPES in December 2012. The authorized official on file is Richard Miller, DMD, President.
Overview
| NPI | 1063758639 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2012 |
| Last updated in NPPES | Jan 3, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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