OrganizationActive
Mattapan Smiles Youth Dentistry, LLC
NPI 1619065901 · General Practice Dentistry · Mattapan, MA
Mattapan Smiles Youth Dentistry, LLC is a General Practice Dentistry organization in Mattapan, MA (NPI 1619065901).
Provider details
- NPI number
- 1619065901
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jenell Stump, Manager, Licensing & Credentialing(615) 750-0343
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
90 River St
Mattapan, MA 02126-2914
Phone: (617) 698-5437
Fax: (617) 698-5435
Street-level locationGet directions
Mailing address
16 Arcade Unit 198747
Nashville, TN 37219-1994
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2014-07-09
Frequently asked questions
- What is Mattapan Smiles Youth Dentistry, LLC's NPI number?
- Mattapan Smiles Youth Dentistry, LLC's National Provider Identifier (NPI) is 1619065901, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mattapan Smiles Youth Dentistry, LLC?
- Mattapan Smiles Youth Dentistry, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mattapan Smiles Youth Dentistry, LLC located?
- Mattapan Smiles Youth Dentistry, LLC's practice location on file with NPPES is 90 River St, Mattapan, MA 02126-2914.
- What is Mattapan Smiles Youth Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mattapan Smiles Youth Dentistry, LLC is (617) 698-5437.
- Who is the authorized official for Mattapan Smiles Youth Dentistry, LLC?
- The authorized official listed on Mattapan Smiles Youth Dentistry, LLC's NPPES record is Jenell Stump, Manager, Licensing & Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mattapan Smiles Youth Dentistry, LLC's NPI active?
- Yes — Mattapan Smiles Youth Dentistry, LLC's NPI (1619065901) is active in the NPPES registry as of the last update on 2014-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.