SOMERVILLE FAMILY DENTAL, PC (NPI# 1700335478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700335478 |
| Entity Type | Organization |
| Organization Name | SOMERVILLE FAMILY DENTAL, PC |
| Practice Address |
23 Bow St 1 Somerville MA 02143-2933 |
| Practice Telephone | 9086983206 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |
| Authorized Official Name | DR. NIKHILESH GORUKANTI (GENERAL DENTIST) |
| Authorized Official Telephone | 9086983206 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN1856869 | MA | Dental Providers |
| Street Address |
23 BOW ST 1 |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639785777 | Spring Hill Dental | Dentist | 174 Highland Ave Ste 1, Somerville, MA 02143-1546 | 2020-09-22 |
| 1568960003 | Henry Talberth | Dentist | 32 Russell Rd, Somerville, MA 02144-1514 | 2018-01-30 |
| 1730621400 | Ellura Rezza Mae Pepito | Dentist | 460 Foley St, Somerville, MA 02145-1213 | 2016-11-13 |
| 1588013098 | Inna Prokupets | Dentist | 5 Middlesex Ave Ste 305, Somerville, MA 02145-1110 | 2016-06-06 |
| 1063821361 | Priyadarshini Raju | Dentist | 18 Adrian St, Apt 1, Somerville, MA 02143-3907 | 2014-08-12 |
| 1255674198 | Dwayne F Richardson Dds Estate | Dentist | 17395 Us Highway 64, Somerville, TN 38068-6162 | 2013-03-28 |
| 1740595081 | Mary Catherine Talmo | Dentist | 180 Highland Ave, Somerville, MA 02143-1507 | 2010-08-11 |
| 1841501533 | Avalon Dental Center | Dentist | 120 Temple St, Somerville, MA 02145-1910 | 2010-06-28 |
| 1184959595 | Just Smiles Dental | Dentist | 622 Somerville Ave, Somerville, MA 02143-3211 | 2009-10-03 |
| 1285897157 | Rishi I. Nijhawan | Dentist | 135 West End Ave., Somerville, NJ 08876-3543 | 2008-07-09 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
Please comment or provide details below to improve the information on SOMERVILLE FAMILY DENTAL, PC.
| 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.