Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

El Shaddai Dental Associates Mattapan PC

Organization Dentist · NPI 1376919696

El Shaddai Dental Associates Mattapan PC provides Dentist services in Mattapan, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2015.

Licensed in
MA
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

542 River St
Mattapan, MA 02126-3014 Not confirmed with CMS for 11 years — call before visiting
Phone: (617) 298-1955
Fax: (617) 296-6004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN19621 (MA)

Record details

NPI number1376919696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Olatunji — Owner · (617) 298-1955
NPI enumeratedAugust 20, 2015
Last updated in NPPESAugust 20, 2015
Mailing address542 River St, Mattapan, MA 02126-3014

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