Smile Design Boston is a Periodontology Clinic in Boston, Massachusetts. It is located at 21 Custom House St Ste 110, Boston, MA and its contact number is 617-840-0627. The authorized person for Smile Design Boston is Dr. Andre Hashem
who is Owner of the clinic and their contact number is 617-840-0627. The primary license number for Smile Design Boston is DN1856740 (Periodontics) in Massachusetts.
Smile Design Boston Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Smile Design Boston Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Smile Design Boston |
| Specialization: | Periodontology |
| Clinic Address: | 21 Custom House St Ste 110, Boston,
Massachusetts, 02110-3525 |
| Phone: | 617-840-0627 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Andre Hashem |
| Position: | Owner |
| Contact Number: | 617-840-0627 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Smile Design Boston clinic are as mentioned below.
| NPI Number: | 1992294979 |
| NPI Enumeration Date: | 06 May, 2018 |
| NPI Last Update On: | 06 May, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Smile Design Boston are as mentioned below.
| Specialization | License Number | State | Status | |
| Periodontics | DN1856740 | Massachusetts | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1487727301 | Other | | Delta Dental Premier |
| 1487727301 | Other | | Blue Cross Blue Shield Dental |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Smile Design Boston
15 Waverly St Apt 260,
Brighton, Massachusetts |
| Zip: | 02135-1245 |
| Phone Number: | 617-840-0627 |
Patients can reach Smile Design Boston at
21 Custom House St Ste 110, Boston, Massachusetts or can
call to book an appointment on 617-840-0627.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.