DR. KATHLEEN MOLGAARD (NPI# 1124548060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124548060 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN MOLGAARD |
| Credential | DMD |
| Practice Address |
271 Waverley Oaks Rd Ste 101 Waltham MA 02452-8475 |
| Mailing Address |
9 Knapp St Apt 203 Boston MA 02111-1624 |
| Practice Telephone | 7816427500 |
| Mailing Telephone | 7815725726 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN1857878 | MA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Kneeland St, Boston, MA 021111527 | 6176366828 |
| Street Address |
271 WAVERLEY OAKS RD STE 101 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02452-8475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619230364 | Premier Endodontics LLC | Dentist | 271 Waverley Oaks Rd Ste 101, Waltham, MA 02452-8475 | 2012-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
| 1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
| 1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
| 1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
| 1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
| Find all providers in zip 02452 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124454665 | Rachel Mckee | Dentist | 271 Waverley Oaks Rd, Suite #101, Waltham, MA 02452-8469 | 2013-09-16 |
| 1619230364 | Premier Endodontics LLC | Dentist | 271 Waverley Oaks Rd Ste 101, Waltham, MA 02452-8475 | 2012-06-18 |
| 1730101650 | Bernard Charles Maloney Jr. | Dentist | 556 Main Street, Waltham, MA 02452 | 2006-07-24 |
| 1467082289 | Adela Agolli Tarshi, D.m.d., P.C. | Dentist | 131 Main St, Waltham, MA 02453-6636 | 2020-01-21 |
| 1811019250 | Allison Gaye Ritch | Dentist | 40 2nd Ave, Suite 500 Mass General West, Waltham, MA 02451-1132 | 2007-04-05 |
| 1982739371 | Fereidoun Agha-razi | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2007-02-23 |
| 1669516993 | Yelena V. Gutnichenko, Dmd, P.C. | Dentist | 52 Elm St, Waltham, MA 02453-5317 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464603 | Thabet Housami | Dentist | 635 Albany Street G-201, Boston, MA 02118-2392 | 2020-10-12 |
| 1255954178 | Citidental Brookline Pllc | Dentist | 637 Washington St Ste 210, Brookline, MA 02446-4579 | 2020-05-27 |
| 1972135028 | Endodontic Center, P.C. | Dentist | 1256 Park St Ste 203, Stoughton, MA 02072-3745 | 2020-02-06 |
| 1497228498 | Westwood Dental Associates, LLC | Dentist | 541 High St Ste 3, Westwood, MA 02090-1628 | 2019-01-02 |
| 1720561459 | Omar Alkhattab | Dentist | 72 E Concord St Rm 318, Boston, MA 02118-2307 | 2018-09-10 |
| 1851892434 | Anne Lauren Koch | Dentist | 29 Lewis Bay Blvd, Suite 4, West Yarmouth, MA 02673 | 2018-02-28 |
| 1912407560 | Endodontic Care of Ma, P.C. | Dentist | 151 E Central St, Franklin, MA 02038-1439 | 2018-02-20 |
| 1366940389 | Glick & Ritch Endo North Andover PC | Dentist | 140 Willow St # 2, North Andover, MA 01845-5918 | 2018-01-24 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1588198667 | Rafael Carmona | Dentist | 1290 Tremont St Fl 2, Roxbury, MA 02120-3432 | 2017-04-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.