RANDALLL DAVIS MDM PC
NPI 1932530656
Dentist in Somerville, MA

Active since December 05, 2013
14 MYRTLE ST, SOMERVILLE, MA 02145(857) 498-1353 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randalll Davis Mdm Pc NPPES

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

RANDALLL DAVIS MDM PC (NPI 1932530656) is a healthcare organization registered as a dentist in Somerville, Massachusetts and active in the NPI registry since December 2013. The organization lists Reyna E Gonzalez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1932530656
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameRANDALLL DAVIS MDM PC
Location Address14 MYRTLE STSomerville, MA 02145-4312
Mailing Address14 Myrtle StSomerville, MA 02145-4312 · (857) 498-1353
Organization SubpartNo
Authorized OfficialReyna E GonzalezOffice Manager · (978) 686-8500
Enumeration DateDecember 5, 2013
NPI 1932530656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MA · DN1856426
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.
14 MYRTLE ST, Somerville, MA 02145

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Randalll Davis Mdm PC's NPI number?

The NPI number for Randalll Davis Mdm PC is 1932530656. It was assigned to this organization in the NPPES registry on December 5, 2013.

Where is Randalll Davis Mdm PC located?

Randalll Davis Mdm PC is located at 14 Myrtle St, Somerville, MA 02145. The listed phone number is (857) 498-1353.

What is Randalll Davis Mdm PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Randalll Davis Mdm PC was last updated on December 5, 2013. 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.