Dr. Rustam K De Vitre is a Boston, Massachusetts based Prosthodontics who is specialized in
Prosthetic Dentistry. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. His current practice location is
392 Commonwealth Ave, Boston. Patients can reach him at
617-236-5969.
Dr. Rustam K De Vitre specialized in that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Complete Profile:
Dr. Rustam K De Vitre speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Rustam K De Vitre |
| Specialization: | Prosthodontics |
| Gender: | Male |
| Credentials: | D.M.D. |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 392 Commonwealth Ave, Boston,
Massachusetts, 02215-2801 |
| Phone: | 617-236-5969 |
| Fax: | 617-424-6265 |
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 are as mentioned below.
| PAC ID: | 6103147384 |
| Enrollment ID: | I20150601001647 |
| NPI Number: | 1477610269 |
| NPI Enumeration Date: | 02 Jan, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 392 Commonwealth Ave,
Boston, Massachusetts |
| Zip: | 02215-2801 |
| Phone Number: | 617-236-5969 |
| Fax Number: | 617-424-6265 |
Patients can reach Dr. Rustam K De Vitre at
392 Commonwealth Ave, Boston, Massachusetts or can
call to book an appointment on 617-236-5969.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.