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

Mattapan Square Family Dental PC

Organization Dentist · NPI 1295907467

Mattapan Square Family Dental PC provides Dentist services in Mattapan, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2008.

Licensed in
MA
In the registry since
2008
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

1634 Blue Hill Ave
Mattapan, MA 02126-2121 Not confirmed with CMS for 18 years — call before visiting
Phone: (617) 298-2000
Fax: (617) 298-2002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 20485 (MA)

Record details

NPI number1295907467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alex Faigel — Manager · (617) 823-2111
NPI enumeratedMarch 28, 2008
Last updated in NPPESMarch 28, 2008
Mailing address1634 Blue Hill Ave, Mattapan, MA 02126-2121

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