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SAMEKA DENTAL MANAGEMENT
NPI 1205015179
Dentist - General Practice in South Boston, MA

Active since October 29, 2007
500 E BROADWAY, SOUTH BOSTON, MA 02127(617) 268-2333(617) 268-8894 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sameka Dental Management NPPES

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

SAMEKA DENTAL MANAGEMENT (NPI 1205015179) is a healthcare organization registered as a general practice in South Boston, Massachusetts and active in the NPI registry since October 2007. The organization lists Ekaterina Mamulashvili, Dentist, as its authorized official.

NPPES Registry Identity

NPI1205015179
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSAMEKA DENTAL MANAGEMENT
Location Address500 E BROADWAYSouth Boston, MA 02127-4406
Mailing Address500 E BroadwaySouth Boston, MA 02127-4406 · (617) 268-2333 · Fax (617) 268-8894
Phone(617) 268-2333
Fax(617) 268-8894
Organization SubpartNo
Authorized OfficialEkaterina MamulashviliDentist · (617) 268-2333
Enumeration DateOctober 29, 2007
✔ NPI 1205015179 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 · 21211
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.
500 E BROADWAY, South Boston, MA 02127
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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

Other Providers at the Same Location NPPES

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

EDWARD VANCE GESCHELIN DMD
Dentist (General Practice)
500 E BROADWAY
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-2333

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 Sameka Dental Management's NPI number?

The NPI number for Sameka Dental Management is 1205015179. It was assigned to this organization in the NPPES registry on October 29, 2007.

Where is Sameka Dental Management located?

Sameka Dental Management is located at 500 E Broadway, South Boston, MA 02127. The listed phone number is (617) 268-2333.

What is Sameka Dental Management'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 Sameka Dental Management was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.