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Back Bay Boston Dental LLC

NPI 1356065684ActiveOrganization· Dentist, General Practice· Boston, MA

Dentist, General Practice in Boston, Massachusetts, registered in NPPES in September 2022. The authorized official on file is Panagiotis Papaspyridakos, DDS, Owner.

Overview

NPI1356065684
StatusActive
Entity typeOrganization
NPI issuedSep 29, 2022
Last updated in NPPESSep 29, 2022
Certified by providerSep 28, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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