IndividualActive
Abdulwahab Khodadah, DDS
NPI 1427516251 · Student in an Organized Health Care Education/Training Program · Boston, MA
Provider details
- NPI number
- 1427516251
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DL15876 (MA)
Specialties & taxonomies
Student, Health Care
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
635 Albany St
Boston, MA 02118-3550
Phone: (617) 650-9014
Street-level locationGet directions
Mailing address
45 Stuart St Apt 1217
Boston, MA 02116-4751
Registry dates
- Enumerated
- 2019-03-11
- Last updated
- 2023-09-25
- Certified
- 2023-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.