Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811538705 Individual Practitioner Male Practitioner

Dr. Samuel Ustayev , DMD

Dentist - General Practice • Brookline, MA

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Ustayev, DMD is a registered healthcare professional specializing in Dentist - General Practice in Brookline, MA. Practice services are available at 367 HARVARD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

367 Harvard St

Brookline, MA 024462938

Telephone 6172771112
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brookline, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
70 Specialists

Practicing in Brookline, MA (3722 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: 2022-10-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1858649

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1842 Beacon St Ste 301

Brookline, MA 024451922

Phone: 6172328113

399 Belgrade Ave

West Roxbury, MA 021321548

Phone: 6173250101

1259 Hyde Park Ave Ste 102

Hyde Park, MA 021362817

Phone: 6173645500

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Burton Goldfarb , DMD

Dentist - General Practice

NPI 1518906213

Doctor of Dental Medicine

Dr. Daniel Goldfarb , DMD

Dentist - General Practice

NPI 1619916350

Doctor of Dental Medicine

Dr. Shubha Nanda , DMD

Dentist - General Practice

NPI 1699814756

Doctor of Dental Medicine

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location October 23, 2022

Registered at 367 HARVARD ST, BROOKLINE, MA 024462938 (Tel: 6172771112)

📍
Updated Business Mailing Address October 23, 2022

Registered at 32 TRAVELER ST UNIT 212, BOSTON, MA 021182843 (Tel: 6179389161)

👤
Provider Name / Credentials Updated October 23, 2022

Recorded as SAMUEL USTAYEV, DMD

📍
Updated Practice Location October 02, 2020

Registered at 1842 BEACON ST STE 301, BROOKLINE, MA 024451922 (Tel: 6172328113)

📍
Updated Business Mailing Address October 02, 2020

Registered at 167 BEACON ST APT 2, BOSTON, MA 021161416

NPI Profile Active October 02, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2019

Registered at 800 POLY PL, BROOKLYN, NY 112097104 (Tel: 7186303651)

📍
Updated Business Mailing Address October 02, 2019

Registered at 586 LINCOLN PL APT 1L, BROOKLYN, NY 112164169

👤
Provider Name / Credentials Updated October 02, 2019

Recorded as SAMUEL USTAYEV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 02, 2019

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: 1811538705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2019
Last Update: October 23, 2022
Sole Proprietor: Yes

Mailing Address

32 Traveler St Unit 212

Boston, MA 021182843

Phone: 6179389161

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.