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Gustavo Perdomo Dmd PC

Dentist in West Roxbury, MA · enumerated 2018 · authorized official Thiago Soares, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578042669

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Registry record

Entity type Organization (Type 2)
Legal business name Gustavo Perdomo Dmd PC
Other name <Unavail>
Practice address 1996 Centre St Ste 201, West Roxbury, MA, 02132
Phone (508) 250-6936
Enumeration date Aug 9, 2018
Last updated in NPPES Aug 9, 2018

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Thiago Soares
Title Administrator
Phone (508) 250-6936

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Gustavo Perdomo Dmd PC?
NPPES lists Thiago Soares (Administrator) as the authorized official for this organization.
What is the NPI number for Gustavo Perdomo Dmd PC?
The NPI for Gustavo Perdomo Dmd PC is 1578042669, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-08-09.