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

Mattapan Smiles Youth Dentistry, LLC

Organization General Practice Dentistry · NPI 1619065901

Mattapan Smiles Youth Dentistry, LLC provides General Practice Dentistry in Mattapan, Massachusetts. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

90 River St
Mattapan, MA 02126-2914 Not confirmed with CMS for 12 years — call before visiting
Phone: (617) 698-5437
Fax: (617) 698-5435
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1619065901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenell Stump — Manager, Licensing & Credentialing · (615) 750-0343
NPI enumeratedOctober 11, 2006
Last updated in NPPESJuly 9, 2014
Mailing address16 Arcade Unit 198747, Nashville, TN 37219-1994

Other providers in Mattapan