DR. NISREEN TAKULLA-KHALIL D.D.S
NPI 1063704278
Dentist - General Practice in Medford, MA

Active since May 05, 2011
80 HIGH ST UNIT 4, MEDFORD, MA 02155(781) 739-3839 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nisreen Takulla-khalil D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NISREEN TAKULLA-KHALIL D.D.S (NPI 1063704278) is an individual general practice provider in Medford, Massachusetts, licensed in Massachusetts (DN1855907) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1063704278
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NISREEN TAKULLA-KHALILCredential: D.D.S
Location Address80 HIGH ST UNIT 4Medford, MA 02155-3872
Mailing Address80 High St Unit 4Medford, MA 02155-3872 · (781) 739-3839
Sole ProprietorNo
Enumeration DateMay 5, 2011
Last NPPES UpdateJune 17, 2024
NPPES CertifiedJune 17, 2024
NPI 1063704278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MA · DN1855907
Definition
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.
80 HIGH ST UNIT 4, Medford, MA 02155

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
80 HIGH ST UNIT 4
MEDFORD, MA 02155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nisreen Takulla-khalil's NPI number?

The NPI number for Nisreen Takulla-khalil is 1063704278. It was assigned to this individual provider in the NPPES registry on May 5, 2011.

Where is Nisreen Takulla-khalil located?

Nisreen Takulla-khalil practices at 80 High St Unit 4, Medford, MA 02155. The listed phone number is (781) 739-3839.

What is Nisreen Takulla-khalil's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Nisreen Takulla-khalil accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Nisreen Takulla-khalil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nisreen Takulla-khalil was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.