OrganizationActive
Revere Pediatric Dentistry
NPI 1912357336 · Pediatric Dentistry · Revere, MA
Revere Pediatric Dentistry is a Pediatric Dentistry organization in Revere, MA (NPI 1912357336).
Provider details
- NPI number
- 1912357336
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kamar Baloul, Pediatric Dentist(781) 284-3113
- License
- DN20603 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 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
11 Vinal St
Revere, MA 02151-5326
Phone: (781) 284-3113
Street-level locationGet directions
Mailing address
11 Vinal St
Revere, MA 02151-5326
Registry dates
- Enumerated
- 2016-06-16
- Last updated
- 2016-06-16
Frequently asked questions
- What is Revere Pediatric Dentistry's NPI number?
- Revere Pediatric Dentistry's National Provider Identifier (NPI) is 1912357336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revere Pediatric Dentistry?
- Revere Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Revere Pediatric Dentistry located?
- Revere Pediatric Dentistry's practice location on file with NPPES is 11 Vinal St, Revere, MA 02151-5326.
- What is Revere Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Revere Pediatric Dentistry is (781) 284-3113.
- Who is the authorized official for Revere Pediatric Dentistry?
- The authorized official listed on Revere Pediatric Dentistry's NPPES record is Kamar Baloul, Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revere Pediatric Dentistry's NPI active?
- Yes — Revere Pediatric Dentistry's NPI (1912357336) is active in the NPPES registry as of the last update on 2016-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.