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SHALOM DENTISTRY
NPI 1154879104
Dentist - General Practice in Acton, MA

Active since September 20, 2016
418 MASSACHUSETTS AVE STE 5, ACTON, MA 01720(339) 221-3692 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shalom Dentistry NPPES

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

SHALOM DENTISTRY (NPI 1154879104) is a healthcare organization registered as a general practice in Acton, Massachusetts and active in the NPI registry since September 2016. The organization lists Jin K Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1154879104
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHALOM DENTISTRY
Location Address418 MASSACHUSETTS AVE STE 5Acton, MA 01720-3723
Mailing Address19 Demarco RdSudbury, MA 01776-2019 · (339) 221-3692
Phone(339) 221-3692
Organization SubpartNo
Authorized OfficialJin K KimOwner · (339) 221-3692
Enumeration DateSeptember 20, 2016
✔ NPI 1154879104 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 · 22255
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.
418 MASSACHUSETTS AVE STE 5, Acton, MA 01720
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Shalom Dentistry's NPI number?

The NPI number for Shalom Dentistry is 1154879104. It was assigned to this organization in the NPPES registry on September 20, 2016.

Where is Shalom Dentistry located?

Shalom Dentistry is located at 418 Massachusetts Ave Ste 5, Acton, MA 01720. The listed phone number is (339) 221-3692.

What is Shalom Dentistry's specialty?

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

When was this NPI record last updated?

The NPPES record for Shalom Dentistry was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.