NPI 1184839573 · live from the CMS NPI Registry
Comprehensive Dental Care
Dentist, Orthodontics and Dentofacial Orthopedics in Somerville, MA. National Provider Identifier 1184839573, active.
NPI record
| NPI | 1184839573 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 474 Broadway Apt 110, Somerville, MA 02145 |
| Practice phone | 617-623-2223 |
| Enumerated | May 11, 2007 |
| Last updated | September 11, 2025 |
| Authorized official | Douglas Leigh, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | 20254 (MA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 20757 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.