Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013137108 Individual Practitioner Male Practitioner

John Ictech-Cassis

Dentist - Prosthodontics • Boston, MA

Professional Overview & Biography Verified Profile Summary

John Ictech-Cassis is a registered healthcare professional specializing in Dentist - Prosthodontics in Boston, MA. Practice services are available at 100 E NEWTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 E Newton St
G-716

Boston, MA 021182308

Telephone 6176385225
Associated Practice Facility / Clinic
🏢 Trustees Of Boston University Facility NPI 1154331916

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
158 Specialists

Practicing in Boston, MA (302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-08
Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License MA 17478

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Thitaya Chaiboonyarak

Student in an Organized Health Care Education/Training Program

NPI 1003784810
Jared Curtin

Dentist - Oral and Maxillofacial Surgery

NPI 1023470184
Ghadir Atout Hajhamad

Dentist - Periodontics

NPI 1033342902
Dr. Wen-Tse Lin , DMD

Dentist - Periodontics

NPI 1033425285

Doctor of Dental Medicine

Ghadeer Basunbul , BDS

Dentist - Prosthodontics

NPI 1033448550
Basil Andijani , BDS

Student in an Organized Health Care Education/Training Program

NPI 1033662796

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated January 08, 2026

Recorded as JOHN ICTECH-CASSIS

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 100 E NEWTON ST, G-716, BOSTON, MA 021182308 (Tel: 6176385225)

📍
Updated Business Mailing Address July 08, 2007

Registered at 35 TEABERRY LN, BRAINTREE, MA 021847347

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN CASSIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #17478 in MA)

🟢
Initial NPI Registration & Enumeration April 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013137108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2007
Last Update: January 08, 2026
Sole Proprietor: Yes

Mailing Address

35 Teaberry Ln

Braintree, MA 021847347

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.