Provider Demographics
NPI:1730103128
Name:BOOKLESS, STEVEN J (DDS)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:BOOKLESS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 E NEWTON ST
Mailing Address - Street 2:G407
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2308
Mailing Address - Country:US
Mailing Address - Phone:617-638-4352
Mailing Address - Fax:617-638-4365
Practice Address - Street 1:100 E NEWTON ST
Practice Address - Street 2:G407
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2308
Practice Address - Country:US
Practice Address - Phone:617-638-4352
Practice Address - Fax:617-638-4365
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA204061223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery