MY DENTIST, LLC – Dentist, NPI 1679594543

MY DENTIST, LLC is a healthcare provider. based in Brookline, Massachusetts. specializing in Dentist. The organization holds a License No. 20430 (MA). The NPI Number for MY DENTIST, LLC is 1679594543

Main info

Organization
Name
MY DENTIST, LLC
NPI
1679594543
Phone
(617) 566-1524
Address
1297 BEACON ST
Authorized Official
DR. IGOR ALEXIS LOZADA OWNER DMD
Enumeration Date
23 July 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MY DENTIST, LLC

  • 1295A,1297, Beacon Street, Coolidge Corner, North Brookline, Brookline, Norfolk County, Massachusetts, 02446, United States

    BROOKLINE, MA 024465242

    Phone: (617) 566-1524

    Fax: (617) 566-1514

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 02446)

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Reviews

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Frequently asked questions

How do payers reference MY DENTIST, LLC?
For MY DENTIST, LLC, use NPI 1679594543 as the unique 10-digit identifier.
Is there an active status for MY DENTIST, LLC?
For scheduling context, MY DENTIST, LLC is shown as active in the registry.
What area of care is associated with MY DENTIST, LLC?
MY DENTIST, LLC's record emphasizes Dentist. Clinical services aligned with this taxonomy classification.
What locale is associated with MY DENTIST, LLC?
Directory geography for MY DENTIST, LLC centers on Brookline, Massachusetts.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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