Healthcare Provider Details

I. General information

NPI: 1952145344
Provider Name (Legal Business Name): SAMHITA RAMAKANT JOSHI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 BRADSTON ST
BOSTON MA
02118-2705
US

IV. Provider business mailing address

318 S MAIN ST
RANDOLPH MA
02368-4807
US

V. Phone/Fax

Practice location:
  • Phone: 617-635-1000
  • Fax:
Mailing address:
  • Phone: 617-543-0387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN10001552
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: