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Dr. Kenneth Backman

Periodontist

1540 Beacon Street
Brookline , Massachusetts 02446

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Dr. Kenneth Backman

Periodontist

1540 Beacon Street
Brookline , Massachusetts 02446

(617) 566-6600

Write a Review Save Call

Dr. Kenneth Backman

Periodontist

1540 Beacon Street
Brookline , Massachusetts 02446

(617) 566-6600 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Periodontist

Languages spoken

  • English

Location

1540 Beacon Street Brookline , Massachusetts 02446

First Address

  • Dr. Kenneth Backman
  • 1540 Beacon Street
  • Brookline, MA
  • Zip : 02446
  • Phone : (617) 566-6600

Second Address

  • Dr. Kenneth Backman
  • 1540 Beacon Street
  • Brookline, MA
  • Zip : 02446
  • Phone : (617) 566-6600

Reviews

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FAQs


Where did Dr. Kenneth Backman attend graduate school?

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Where did Dr. Kenneth Backman do his residency?

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Where did Dr. Kenneth Backman do his fellowship?

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Is Dr. Kenneth Backman board certified?

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What type of doctor is Dr. Kenneth Backman

Periodontist

In what state does Dr. Kenneth Backman practice in?

Massachusetts

Where is Dr. Kenneth Backman ’s practice located?

1540 Beacon Street , Brookline, Massachusetts, 02446

What is Dr. Kenneth Backman ’s gender?

Male

Is Dr. Kenneth Backman a sole practitioner?

No

Is Dr. Kenneth Backman accepting new patients?

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What languages does Dr. Kenneth Backman speak?

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Does Dr. Kenneth Backman accept insurance?

Yes, Dr. Kenneth Backman accepts insurance

Does Dr. Kenneth Backman offers telemedicine?

Dr. Kenneth Backman has not indicated if he offers telemedicine

What is Dr. Kenneth Backman ’s professional license number?

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What is Dr. Kenneth Backman ’s NPI number?

1134269921

Does Dr. Kenneth Backman have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0300X Periodontist 12117 MA

National Provider Identifier

NPI 1134269921
Provider Name Dr. Kenneth Backman
First Address Brookline, MA 02446
Second Address Brookline, MA 02446
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 08/02/2007
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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