Rooted Dental Company PLLC
NPI 1619629177ActiveOrganization· Dentist, General Practice· Brookline, MA
Dentist, General Practice in Brookline, Massachusetts, registered in NPPES in January 2022. The authorized official on file is Khara C. Gresham, DMD, Owner.
Overview
| NPI | 1619629177 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 25, 2022 |
| Last updated in NPPES | Jan 25, 2022 |
| Certified by provider | Jan 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general dentists in Brookline
- 1053328286
- 1114669223
- 1154499432
- 1295280972
- 1326200171
- 1366659948
- 1376505669
- 1407932882
- 1407952245
- 1427629807
- 1447475884
- 1508520925
All 100 general dentists in Brookline · All general dentists in Massachusetts