Dr. Jerome Surmenian
Periodontist
100 East Newton Street Boston University Dental School
Boston
, Massachusetts 02118
Dr. Jerome Surmenian
Periodontist
100 East Newton Street Boston University Dental School
Boston
, Massachusetts 02118
(339) 970-1250
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Jerome Surmenian
- 67 Symphony Rd
- Boston, MA
- Zip : 02115-4009
- Phone : (339) 970-1250
Second Address
- Dr. Jerome Surmenian
- 100 East Newton Street Boston University Dental School
- Boston, MA
- Zip : 02118
- Phone : (617) 638-4750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 9748 | MA |
National Provider Identifier
| NPI | 1104080985 |
|---|---|
| Provider Name | Dr. Jerome Surmenian |
| First Address | Boston, MA 02115-4009 |
| Second Address | Boston, MA 02118 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2008 |
| Last Update Date | 11/07/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.