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KSENIA SUNDUKOVA DMD
NPI 1891495164
Dentist - General Practice in Somerville, MA

Active since March 06, 2023
30 COLLEGE AVE, SOMERVILLE, MA 02144(617) 764-2247 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2024, Mar 6, 2023 (2 updates tracked since 2023).

About Ksenia Sundukova Dmd NPPES

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

KSENIA SUNDUKOVA DMD (NPI 1891495164) is an individual general practice provider in Somerville, Massachusetts, licensed in Massachusetts (DN1860063) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1891495164
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKSENIA SUNDUKOVACredential: DMD
Location Address30 COLLEGE AVESomerville, MA 02144-1914
Mailing Address100 Stockton St Apt 201Chelsea, MA 02150-2259 · (347) 320-5653
Phone(617) 764-2247
Sole ProprietorNo
Enumeration DateMarch 6, 2023
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1891495164 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 · DN1860063
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
30 COLLEGE AVE, Somerville, MA 02144
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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 ›

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
DAVIS SQUARE DENTAL GROUP
Dentist (General Practice)
30 COLLEGE AVE, SUITE 300
SOMERVILLE, MA 02144
Middlesex County (617) 764-2247
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

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 Ksenia Sundukova's NPI number?

The NPI number for Ksenia Sundukova is 1891495164. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Ksenia Sundukova located?

Ksenia Sundukova practices at 30 College Ave, Somerville, MA 02144. The listed phone number is (617) 764-2247.

What is Ksenia Sundukova's specialty?

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

What insurance does Ksenia Sundukova 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 6 other insurers list Ksenia Sundukova 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 Ksenia Sundukova was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.