OrganizationActive
Davis Square Dental Group
NPI 1629341540 · General Practice Dentistry · Somerville, MA
Davis Square Dental Group is a General Practice Dentistry organization in Somerville, MA (NPI 1629341540).
Provider details
- NPI number
- 1629341540
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mouhab Rizkallah, President(617) 872-4499
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
30 College Ave
Suite 300
Somerville, MA 02144-1914
Phone: (617) 764-2247
Street-level locationGet directions
Mailing address
30 College Ave
Somerville, MA 02144-1914
Registry dates
- Enumerated
- 2012-02-23
- Last updated
- 2012-02-23
Frequently asked questions
- What is Davis Square Dental Group's NPI number?
- Davis Square Dental Group's National Provider Identifier (NPI) is 1629341540, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Davis Square Dental Group?
- Davis Square Dental Group is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Davis Square Dental Group located?
- Davis Square Dental Group's practice location on file with NPPES is 30 College Ave, Somerville, MA 02144-1914.
- What is Davis Square Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Davis Square Dental Group is (617) 764-2247.
- Who is the authorized official for Davis Square Dental Group?
- The authorized official listed on Davis Square Dental Group's NPPES record is Mouhab Rizkallah, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Davis Square Dental Group's NPI active?
- Yes — Davis Square Dental Group's NPI (1629341540) is active in the NPPES registry as of the last update on 2012-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.