1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DOMINIQUE R DOUGLAS DMD
NPI 1326839887
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since May 14, 2025
1 KNEELAND ST, BOSTON, MA 02111(617) 636-6828 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique R Douglas Dmd NPPES

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

DOMINIQUE R DOUGLAS DMD (NPI 1326839887) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1326839887
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDOMINIQUE R DOUGLASCredential: DMD
Location Address1 KNEELAND STBoston, MA 02111-1527
Mailing Address1 Kneeland StBoston, MA 02111-1527
Phone(617) 636-6828
Sole ProprietorYes
Enumeration DateMay 14, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1326839887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 KNEELAND ST, Boston, MA 02111
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

DR. ROCIO SAAVEDRA DDS
Dentist
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6971
EIRRION DOMINIQUE TIMMONS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
MICHELLE IRENE VALDES
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
NORAH ALAJAJI
Dental Assistant
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6591
DR. ANUJA CHUMBLE PANDA DMD
Dentist (General Practice)
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-2163
GRACE WANG
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
YEHAN KIM
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
GRACE DAVIS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828

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 Dominique Douglas's NPI number?

The NPI number for Dominique Douglas is 1326839887. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Where is Dominique Douglas located?

Dominique Douglas practices at 1 Kneeland St, Boston, MA 02111. The listed phone number is (617) 636-6828.

What is Dominique Douglas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dominique Douglas was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.