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INE R. SANTOSO D.D.S.
NPI 1396956272
Dentist in Northborough, MA

Active since May 24, 2007PECOS Enrolled
133 CHURCH ST., NORTHBOROUGH, MA 01532(508) 393-2318 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ine R. Santoso D.d.s. NPPES

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

INE R. SANTOSO D.D.S. (NPI 1396956272) is an individual dentist in Northborough, Massachusetts, licensed in Massachusetts (MA 17205) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396956272
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameINE R. SANTOSOCredential: D.D.S.
Location Address133 CHURCH ST.Northborough, MA 01532-0507
Mailing AddressPo Box 507, 133 Church St.Northborough, MA 01532-0507 · (508) 393-2318
Phone(508) 393-2318
Sole ProprietorYes
Enumeration DateMay 24, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396956272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · MA 17205
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.
133 CHURCH ST., Northborough, MA 01532
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Other Names 1

Former Name (1)Dr. Ine Rahardja D.d.s.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ine R. Santoso D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ine Santoso's NPI number?

The NPI number for Ine Santoso is 1396956272. It was assigned to this individual provider in the NPPES registry on May 24, 2007. The provider is also known as Dr. Ine Rahardja D.D.S..

Where is Ine Santoso located?

Ine Santoso practices at 133 Church St., Northborough, MA 01532. The listed phone number is (508) 393-2318.

What is Ine Santoso's specialty?

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

Is Ine Santoso enrolled in Medicare?

Yes. Ine Santoso is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ine Santoso was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.