DR. PRIYANKA SHUKLA (NPI# 1134301385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134301385 |
| Entity Type | Individual |
| Full Name | DR. PRIYANKA SHUKLA |
| Credential | BDS,MS |
| Practice Address |
1425 Blue Hill Ave Mattapan MA 02126-2253 |
| Practice Telephone | 6172960061 |
| Mailing Telephone | 6172960061 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
9731 | MA | Dental Providers |
| Street Address |
1425 BLUE HILL AVE |
| City | MATTAPAN |
| State | MA |
| Zip Code | 02126-2253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881634947 | Cynthia L Boddie-willis | Internal Medicine | 1425 Blue Hill Ave, Mattapan, MA 02126-2253 | 2006-06-07 |
| 1740548882 | Solange Smith | Registered Nurse | 1425 Blue Hill Ave, Mattapan, MA 02126-2253 | 2012-04-26 |
| 1124385661 | Danielle Collins | Dental Hygienist | 1425 Blue Hill Ave, Mattapan, MA 02126-2253 | 2012-04-23 |
| 1811120140 | Vanessa Raeschelle Harrell | Registered Nurse | 1425 Blue Hill Ave, Mattapan, MA 02126-2253 | 2009-09-03 |
| 1609001437 | Friceline Chelot | Registered Nurse | 1425 Blue Hill Ave, Mattapan, MA 02126-2253 | 2009-05-22 |
| 1992945083 | Daphne Aretha Matthews | Registered Nurse | 1425 Blue Hill Ave, Mattapan, MA 02126-2253 | 2009-03-02 |
| 1932372570 | Chidinma Ogundu | Licensed Practical Nurse | 1425 Blue Hill Ave, Mattapan, MA 02126-2253 | 2008-04-03 |
| 1982885505 | Betty M Bogard | Registered Nurse | 1425 Blue Hill Ave, Mattapan, MA 02126-2253 | 2007-11-26 |
| 1003096868 | Priscilla Stout | Registered Nurse | 1425 Blue Hill Ave, Mattapan, MA 02126-2253 | 2007-11-09 |
| 1174702765 | Jeanine Rene | Dental Hygienist | 1425 Blue Hill Ave, Mattapan, MA 02126-2253 | 2007-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280646 | Covil Home Care LLC | In Home Supportive Care | 1549 Blue Hill Ave, Mattapan, MA 02126 | 2019-05-10 |
| 1902374069 | Kasha Sarette | Social Worker | 37 Babson St, Mattapan, MA 02126 | 2018-11-07 |
| 1093231359 | Danielle Christian | Behavior Technician | 73 Catbird Ct, Mattapan, MA 02126 | 2017-08-18 |
| 1609314681 | Regis College | Hospice, Inpatient | 19 Southmere Road, Mattapan, MA 02126 | 2017-02-09 |
| 1437606001 | Betsy-lynn Ngole | Community Health Worker | 137 Savannah Ave, Boston, MA 02126 | 2016-09-01 |
| 1437535440 | Rosel Forwang Lewis | Registered Nurse | 42 Hallowell St, Mattapan, MA 02126 | 2015-08-03 |
| 1033596895 | Quality Home Care & Transportation | Transportation Broker | 93 W Selden St, Mattapan, MA 02126 | 2015-04-30 |
| 1205101565 | Clayton Mark Sandiford | Contractor | 22 Banfield Ave, Boston, MA 02126 | 2012-03-19 |
| 1790093128 | Richard Christopher Mitchell Jr. | Counselor | 32 Wellington Hill St, Mattapan, MA 02126 | 2010-09-20 |
| 1972630622 | Gemima St. Louis | Psychologist | 255 River St, Spark Center-bmc, Mattapan, MA 02126 | 2007-02-28 |
| Find all providers in zip 02126 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479831 | Riddhi H Badamia | Dentist | Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, 188 Longwood Ave, Boston, MA 02115 | 2019-07-22 |
| 1699271528 | Myron Allukian Jr. | Dentist | 46 Louders Ln, Boston, MA 02130-3423 | 2018-03-31 |
| 1730683855 | Catherine Hayes | Dentist | 40 White Pine Rd, Newton, MA 02464-1223 | 2018-03-22 |
| 1043728173 | Michelle Marie Henshaw Marble | Dentist | 560 Harrison Ave Ste 302, Boston, MA 02118-2884 | 2018-01-10 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1255710034 | Erinne Nicole Kennedy | Dentist | 111 Washington St Ste 301, Quincy, MA 02169 | 2015-05-26 |
| 1528477320 | Visitingdental Associates of Ma LLC | Dentist | 18 Purchase St, Middleboro, MA 02346-3356 | 2014-08-05 |
| 1811327265 | Denise Salomon | Dentist | 47 Congress St., Salem, MA 01970-5507 | 2013-11-21 |
| 1114122256 | Lincoln Crossing Dental Associates, PC | Dentist | 160 Lincoln Rd., Lincoln, MA 01773-3834 | 2007-06-19 |
| 1013131895 | Hugo P Dambrosio Jr. | Dentist | 8 Bramblebush Park, Falmouth, MA 02540 | 2007-04-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.