Healthcare Provider Details

I. General information

NPI: 1609799295
Provider Name (Legal Business Name): ASHMONT DENTAL STUDIO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 ASHMONT ST
DORCHESTER MA
02124-3745
US

IV. Provider business mailing address

172 ASHMONT ST
DORCHESTER MA
02124-3745
US

V. Phone/Fax

Practice location:
  • Phone: 617-288-2920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JEFF MURAT
Title or Position: DR
Credential: DMD
Phone: 617-288-2920