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Davis Square Dental Specialists

NPI 1013258359ActiveOrganization· Dentist· Dorchester, MA

Dentist in Dorchester, Massachusetts, registered in NPPES in March 2013. The authorized official on file is Mouhab Z. Rizkallah, Owner.

Overview

NPI1013258359
StatusActive
Entity typeOrganization
NPI issuedMar 12, 2013
Last updated in NPPESMar 12, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X20416MA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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