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KEROLLOS WISSA
NPI 1376301697
Dentist in Boston, MA

Active since March 11, 2024
635 ALBANY ST, BOSTON, MA 02118(617) 358-8300 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kerollos Wissa NPPES

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

KEROLLOS WISSA (NPI 1376301697) is an individual dentist in Boston, Massachusetts, licensed in Florida (DN29645) and active in the NPI registry since March 2024. He maintains a secondary practice location in Deltona.

NPPES Registry Identity

NPI1376301697
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKEROLLOS WISSA
Location Address635 ALBANY STBoston, MA 02118-3550
Mailing Address1461 Terra Verde WayOcoee, FL 34761-8467 · (857) 395-1771
Phone(617) 358-8300
Sole ProprietorYes
Enumeration DateMarch 11, 2024
Last NPPES UpdateOctober 4, 2024
NPPES CertifiedOctober 4, 2024
✔ NPI 1376301697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN29645
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
635 ALBANY ST, Boston, MA 02118
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Secondary Practice Location 1

Location 11617 Catalina BlvdDeltona, FL 32725-9699 · Phone (386) 457-4520

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

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.

GRETA JANE DANIELSON
Student in an Organized Health Care Education/Training Program
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 358-8300
JACOB FORTENBERRY DMD
Dentist
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (601) 278-0923
MARIA VICTORIA RIZO DIAZ
Student in an Organized Health Care Education/Training Program
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 358-8300
AHMED ELSAYED
Dentist
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 358-8300
ARBER MULLIQI
Dentist (General Practice)
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (917) 569-9594
GRACIE ANNE ABDALLA
Student in an Organized Health Care Education/Training Program
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 358-8300
DR. TAEGYOON KIM DMD
Dentist (Prosthodontics)
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 358-8300
YU-TING CHAN
Dentist (Periodontics)
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 358-8300

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 Kerollos Wissa's NPI number?

The NPI number for Kerollos Wissa is 1376301697. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Where is Kerollos Wissa located?

Kerollos Wissa practices at 635 Albany St, Boston, MA 02118. The listed phone number is (617) 358-8300.

What is Kerollos Wissa's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kerollos Wissa accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 13 other insurers list Kerollos Wissa 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 Kerollos Wissa was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.