Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043832538 Individual Practitioner Female Practitioner

Dr. Kisa Iqbal , DDS

Dentist - General Practice • Boston, MA

Professional Overview & Biography Verified Profile Summary

Dr. Kisa Iqbal, DDS is a registered healthcare professional specializing in Dentist - General Practice in Boston, MA. Practice services are available at 635 ALBANY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

635 Albany St

Boston, MA 021183550

Telephone 3478276410

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
402 Specialists

Practicing in Boston, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1859264

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 37079

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Greta Danielson

Student in an Organized Health Care Education/Training Program

NPI 1003612979
NPI 1003657651

Doctor of Dental Medicine

Maria Rizo Diaz

Student in an Organized Health Care Education/Training Program

NPI 1003766627
NPI 1013698901
Arber Mulliqi

Dentist - General Practice

NPI 1013713031
Gracie Abdalla

Student in an Organized Health Care Education/Training Program

NPI 1013720960

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 05, 2023

Registered at 635 ALBANY ST, BOSTON, MA 021183550 (Tel: 3478276410)

📍
Updated Practice Location July 07, 2021

Registered at 5051 S SONCY RD, AMARILLO, TX 791196667 (Tel: 8068039452)

📍
Updated Business Mailing Address July 07, 2021

Registered at 309 RANDY MATSON AVE, PAMPA, TX 790654305 (Tel: 3478276410)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2021

Dentist (License #37079 in TX)

NPI Profile Active May 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2020

Registered at 506 LENOX AVE, NEW YORK, NY 100371889 (Tel: 2129392883)

📍
Updated Business Mailing Address May 07, 2020

Registered at 9013 204TH ST, HOLLIS, NY 114232724

👤
Provider Name / Credentials Updated May 07, 2020

Recorded as KISA IQBAL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 07, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043832538
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2020
Last Update: October 05, 2023
Sole Proprietor: No

Mailing Address

309 Randy Matson Ave

Pampa, TX 790654305

Phone: 3478276410

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.