Healthcare Provider Details

I. General information

NPI: 1295657039
Provider Name (Legal Business Name): GEMMA DENTAL STUDIO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 S MAIN ST
RANDOLPH MA
02368-4807
US

IV. Provider business mailing address

318 S MAIN ST
RANDOLPH MA
02368-4807
US

V. Phone/Fax

Practice location:
  • Phone: 617-543-6909
  • Fax:
Mailing address:
  • Phone: 617-543-6909
  • 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: DR. SAMHITA RAMAKANT JOSHI
Title or Position: OWNER
Credential: DDS
Phone: 617-543-6909