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DAVIS SQUARE DENTAL GROUP
NPI 1629341540
Dentist - General Practice in Somerville, MA

Active since February 23, 2012
30 COLLEGE AVE, SUITE 300, SOMERVILLE, MA 02144(617) 764-2247 Get Directions Write a Review

NPPES record last updated: February 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Davis Square Dental Group NPPES

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

DAVIS SQUARE DENTAL GROUP (NPI 1629341540) is a healthcare organization registered as a general practice in Somerville, Massachusetts and active in the NPI registry since February 2012. The organization lists Mouhab Rizkallah, President, as its authorized official.

NPPES Registry Identity

NPI1629341540
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDAVIS SQUARE DENTAL GROUP
Location Address30 COLLEGE AVE, SUITE 300Somerville, MA 02144-1914
Mailing Address30 College AveSomerville, MA 02144-1914
Phone(617) 764-2247
Organization SubpartNo
Authorized OfficialMouhab RizkallahPresident · (617) 872-4499
Enumeration DateFebruary 23, 2012
✔ NPI 1629341540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
30 COLLEGE AVE, Somerville, MA 02144
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 6

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

YOUSEF SIDKI DMD
Dentist
30 COLLEGE AVE
SOMERVILLE, MA 02144
Middlesex County (617) 764-2247
PERIODONTICS DENTAL IMPLANTS OF GREATER BOSTON
Dentist (Periodontics)
30 COLLEGE AVE, SUITE 201
SOMERVILLE, MA 02144
Middlesex County (617) 776-7676
DR. MOUHAB Z RIZKALLAH DDS MSD PC
Dentist (Orthodontics and Dentofacial Orthopedics)
30 COLLEGE AVE
SOMERVILLE, MA 02144
Middlesex County (617) 591-9999
DR. LAURA RIZKALLAH DMD
Dentist
30 COLLEGE AVE
SOMERVILLE, MA 02144
Middlesex County (617) 591-9999
MOUHAB Z RIZKALLAH DDS MSD PC
Dentist (Orthodontics and Dentofacial Orthopedics)
30 COLLEGE AVE
SOMERVILLE, MA 02144
Middlesex County (617) 591-9999
KSENIA SUNDUKOVA DMD
Dentist (General Practice)
30 COLLEGE AVE
SOMERVILLE, MA 02144
Middlesex County (617) 764-2247

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 Davis Square Dental Group's NPI number?

The NPI number for Davis Square Dental Group is 1629341540. It was assigned to this organization in the NPPES registry on February 23, 2012.

Where is Davis Square Dental Group located?

Davis Square Dental Group is located at 30 College Ave Suite 300, Somerville, MA 02144. The listed phone number is (617) 764-2247.

What is Davis Square Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Davis Square Dental Group accept?

Health plans from UnitedHealthcare list Davis Square Dental Group 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 Davis Square Dental Group was last updated on February 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.