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JEREMIAH DAVID PENBERTHY DMD
NPI 1386431310
Dentist - General Practice in Boston, MA

Active since April 23, 2025
635 ALBANY ST, BOSTON, MA 02118(617) 358-8300 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremiah David Penberthy Dmd NPPES

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

JEREMIAH DAVID PENBERTHY DMD (NPI 1386431310) is an individual general practice provider in Boston, Massachusetts, licensed in Massachusetts (DN10000823) and active in the NPI registry since April 2025. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1386431310
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJEREMIAH DAVID PENBERTHYCredential: DMD
Location Address635 ALBANY STBoston, MA 02118-3550
Mailing Address167 Winthrop Shore Dr Unit 2Winthrop, MA 02152-1247 · (208) 771-1172
Phone(617) 358-8300
Sole ProprietorNo
Enumeration DateApril 23, 2025
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1386431310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · DN10000823
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License DN10000823 (MA)
635 ALBANY ST, Boston, MA 02118
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1140 Union St Ste 303Lynn, MA 01901-1326 · Phone (781) 592-4438
Location 2999 Saratoga StEast Boston, MA 02128-1238 · Phone (617) 569-2761
Location 3123 Revere StRevere, MA 02151-4439 · Phone (617) 377-7924

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 Jeremiah Penberthy's NPI number?

The NPI number for Jeremiah Penberthy is 1386431310. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Jeremiah Penberthy located?

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

What is Jeremiah Penberthy'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 Jeremiah Penberthy was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.