Growing Smile Pediatric Dentistry and Braces – Pediatric Dentistry, NPI 1295439768

Growing Smile Pediatric Dentistry and Braces is a healthcare provider. based in Medford, Massachusetts. specializing in Pediatric Dentistry. The NPI Number for Growing Smile Pediatric Dentistry and Braces is 1295439768

Main info

Organization
Name
Growing Smile Pediatric Dentistry and Braces
NPI
1295439768
Phone
(917) 892-3625
Address
61 DUDLEY ST
Authorized Official
DR. SHAHNAAZ NISTAR DENTIST/OWNER DDS
Enumeration Date
29 March 2023
Last Update Date
29 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness80
Years active:3State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Growing Smile Pediatric Dentistry and Braces

  • 61 DUDLEY ST

    MEDFORD, MA 021554007

    Phone: (917) 892-3625

    Type: Mailing

  • 79 LYNNFIELD ST

    PEABODY, MA 019605201

    Phone: (917) 892-3625

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02155)

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Frequently asked questions

What unique ID ties claims to Growing Smile Pediatric Dentistry and Braces?
NPI 1295439768 is assigned to Growing Smile Pediatric Dentistry and Braces under the national enumeration system.
Is Growing Smile Pediatric Dentistry and Braces's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does Growing Smile Pediatric Dentistry and Braces treat or focus on?
Patients typically see Growing Smile Pediatric Dentistry and Braces under the specialty Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Does Growing Smile Pediatric Dentistry and Braces practice in Massachusetts?
You will see Medford, Massachusetts on file for Growing Smile Pediatric Dentistry and Braces alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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