OrganizationActive
El Shaddai Dental Associates Mattapan PC
NPI 1376919696 · Dentist · Mattapan, MA
El Shaddai Dental Associates Mattapan PC is a Dentist organization in Mattapan, MA (NPI 1376919696).
Provider details
- NPI number
- 1376919696
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Anthony Olatunji, Owner(617) 298-1955
- License
- DN19621 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
542 River St
Mattapan, MA 02126-3014
Phone: (617) 298-1955
Fax: (617) 296-6004
Street-level locationGet directions
Mailing address
542 River St
Mattapan, MA 02126-3014
Registry dates
- Enumerated
- 2015-08-20
- Last updated
- 2015-08-20
Frequently asked questions
- What is El Shaddai Dental Associates Mattapan PC's NPI number?
- El Shaddai Dental Associates Mattapan PC's National Provider Identifier (NPI) is 1376919696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is El Shaddai Dental Associates Mattapan PC?
- El Shaddai Dental Associates Mattapan PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is El Shaddai Dental Associates Mattapan PC located?
- El Shaddai Dental Associates Mattapan PC's practice location on file with NPPES is 542 River St, Mattapan, MA 02126-3014.
- What is El Shaddai Dental Associates Mattapan PC's phone number?
- The practice phone number listed in the NPPES registry for El Shaddai Dental Associates Mattapan PC is (617) 298-1955.
- Who is the authorized official for El Shaddai Dental Associates Mattapan PC?
- The authorized official listed on El Shaddai Dental Associates Mattapan PC's NPPES record is Anthony Olatunji, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is El Shaddai Dental Associates Mattapan PC's NPI active?
- Yes — El Shaddai Dental Associates Mattapan PC's NPI (1376919696) is active in the NPPES registry as of the last update on 2015-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.