DR. SKYLAR PENBERTHY (NPI# 1225676919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225676919 |
| Entity Type | Individual |
| Full Name | DR. SKYLAR PENBERTHY |
| Credential | DMD |
| Practice Address |
635 Albany St Boston MA 02118-0211 |
| Mailing Address |
17877 W Bison Trl Post Falls ID 83854-6737 |
| Practice Telephone | 6173588300 |
| Mailing Telephone | 2086409039 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2020-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D-5099 | ID | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 509 W Hanley Ave Ste 202, Coeur D Alene, ID 838158994 | 2086678622 |
| Street Address |
635 ALBANY ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-0211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063824464 | Maria Al Ismail | Dentist | 635 Albany St, Boston, MA 02118-2308 | 2014-05-20 |
| 1932709987 | Ruben Dario Martin Jr. | Denturist | 635 Albany St, Boston, MA 02118 | 2020-10-29 |
| 1275132086 | William Richards | Dentist | 635 Albany St, Boston, MA 02118 | 2020-10-22 |
| 1922644996 | Bashar Ghoujal | Dentist | 635 Albany St, Boston, MA 02118 | 2019-11-25 |
| 1699310185 | Hotoun Shuwaikan | Dentist | 635 Albany St, Bu Dental School, Boston, MA 02118-3552 | 2019-11-08 |
| 1164066742 | Noor Khouqeer | Dentist | 635 Albany St, Boston, MA 02118 | 2019-11-06 |
| 1659920395 | Sean Lee | Dentist | 635 Albany St, Boston, MA 02218 | 2019-09-05 |
| 1063067163 | Negar Harraji | Dentist | 635 Albany St, Boston, MA 02118 | 2019-08-06 |
| 1447812219 | Reem Akram Zuhairy | Student in an Organized Health Care Education/Training Program | 635 Albany St, Boston, MA 02118 | 2019-07-02 |
| 1760945224 | Tyler James Guinn | Dentist | 635 Albany St, Boston, MA 02118 | 2019-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353619 | Shikha Nanda | Dentist | 45 E Newton St Apt 107, Boston, MA 02118-4803 | 2020-10-09 |
| 1972100964 | Dafjola Bejleraj | Dentist | 10 High St Ste 333, Boston, MA 02110-1672 | 2020-10-03 |
| 1851998827 | Rami Salloum | Dentist | 60 Mount Pleasant Ave, Boston, MA 02119-3348 | 2020-10-02 |
| 1649885492 | Vanessa Lynn Mancuso Cortinas | Dentist | 490 Harrison Ave Apt 202, Boston, MA 02118-2573 | 2020-09-09 |
| 1407468465 | Treon Dental Partner | Dentist | 22 Traveler St, Boston, MA 02118-2645 | 2020-08-20 |
| 1134747603 | Ahmed Bashir Raddad | Dentist | 100 E Newton St # 707a, Boston, MA 02118-3552 | 2020-07-10 |
| 1770108656 | Nedg Boston | Dentist | 1 Milk St, Boston, MA 02109-5413 | 2020-06-16 |
| 1730702309 | Alla Anastos | Dentist | 4 Charlesgate E Apt 502, Boston, MA 02215-2324 | 2020-05-18 |
| 1942841788 | Mina Ihsan | Dentist | 701 Massachusetts Ave Apt 5, Boston, MA 02118-4053 | 2019-10-02 |
| 1831740166 | Saad Joulakh | Dentist | 42 Worcester Sq Apt 11, Boston, MA 02118-2920 | 2019-09-27 |
| Find all providers in BOSTON | ||||
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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.