DR. KHARA C GRESHAM D.M.D
NPI 1790191815
Dentist in Mattapan, MA

Q: What is Khara Gresham's NPI number?

The NPI number for Khara Gresham is 1790191815. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Q: What is Khara Gresham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Khara Gresham was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 09, 2014

1575 BLUE HILL AVE, MATTAPAN, MA 02126(617) 296-0061 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Khara C Gresham D.m.d NPPES

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

DR. KHARA C GRESHAM D.M.D (NPI 1790191815) is an individual dentist in Mattapan, Massachusetts, licensed in Massachusetts (DN1856586) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1790191815

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KHARA C GRESHAMCredential: D.M.D

Location Address1575 BLUE HILL AVEMattapan, MA 02126-2122

Mailing Address1575 Blue Hill AveMattapan, MA 02126-2122 · (617) 296-0061

Phone(617) 296-0061

Sole ProprietorNo

Enumeration DateJuly 9, 2014

✔ NPI 1790191815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MA · DN1856586

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.

1575 BLUE HILL AVE, Mattapan, MA 02126

Open in Google Maps ↗

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, Blue Cross and Blue Shield of Montana 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.

SAMSON YU

Pharmacist

1575 BLUE HILL AVE
MATTAPAN, MA 02126

Suffolk County (617) 898-1282

DR. MICHELLE DALENCOUR M.D.

Family Medicine

1575 BLUE HILL AVE
MATTAPAN, MA 02126

Suffolk County (617) 296-0061

CVS PHARMACY INC

Pharmacy

1575 BLUE HILL AVE
MATTAPAN, MA 02126

Suffolk County (617) 898-1282

ZHEN RUAN

Dental Hygienist

1575 BLUE HILL AVE
BOSTON, MA 02126

Suffolk County (617) 296-0061

DR. JASON LANIER OUTLAW DMD, DMSC

Dentist

1575 BLUE HILL AVE
BOSTON, MA 02126

Suffolk County (617) 296-0061

EMILY CASTELLANOS

Counselor (Mental Health)

1575 BLUE HILL AVE
MATTAPAN, MA 02126

Suffolk County (617) 296-0061

MS. SHAUNTELLE MALCOLM RN

Nurse Practitioner (Psychiatric/Mental Health)

1575 BLUE HILL AVE
MATTAPAN, MA 02126

Suffolk County (617) 296-0061

VICTORIA ELENA OLIVA RAPOPORT MD

Family Medicine

1575 BLUE HILL AVE
MATTAPAN, MA 02126

Suffolk County (617) 296-0061

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 Khara Gresham's NPI number?

The NPI number for Khara Gresham is 1790191815. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Khara Gresham located?

Khara Gresham practices at 1575 Blue Hill Ave, Mattapan, MA 02126. The listed phone number is (617) 296-0061.

What is Khara Gresham's specialty?

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

What insurance does Khara Gresham accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Khara Gresham 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 Khara Gresham was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.