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JADE PEDERSEN DMD
NPI 1417484395
Dentist in Boston, MA

Active since May 22, 2017
368 W BROADWAY, BOSTON, MA 02127(617) 269-0004 Get Directions Write a Review

NPPES record last updated: May 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jade Pedersen Dmd NPPES

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

JADE PEDERSEN DMD (NPI 1417484395) is an individual dentist in Boston, Massachusetts, licensed in Massachusetts (DN1857566) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1417484395
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJADE PEDERSENCredential: DMD
Location Address368 W BROADWAYBoston, MA 02127-2272
Mailing Address491 Massachusetts Ave Apt 4Boston, MA 02118-1110 · (617) 459-9844
Phone(617) 269-0004
Sole ProprietorNo
Enumeration DateMay 22, 2017
✔ NPI 1417484395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · DN1857566
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.
368 W BROADWAY, Boston, MA 02127
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

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 Jade Pedersen's NPI number?

The NPI number for Jade Pedersen is 1417484395. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Where is Jade Pedersen located?

Jade Pedersen practices at 368 W Broadway, Boston, MA 02127. The listed phone number is (617) 269-0004.

What is Jade Pedersen's specialty?

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

What insurance does Jade Pedersen accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jade Pedersen 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 Jade Pedersen was last updated on May 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.