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Active NPI 1568154946 Individual Practitioner Female Practitioner

Dr. Ashwini Manjunatha , DMD

Dentist - General Practice • Boston, MA

Professional Overview & Biography Verified Profile Summary

Dr. Ashwini Manjunatha, DMD is a registered healthcare professional specializing in Dentist - General Practice in Boston, MA. Practice services are available at 9 CHANNEL CTR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9 Channel Ctr St

Boston, MA 022103428

Telephone 6172681030
Associated Practice Facility / Clinic

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: 2025-11-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN10000920

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1326333212

Doctor of Dental Medicine

Joseph Lee

Dentist

NPI 1477798700
Dr. Philip Barber , DMD

Dentist - General Practice

NPI 1710991195

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 19, 2025

Registered at 9 CHANNEL CTR ST, BOSTON, MA 022103428 (Tel: 6172681030)

📍
Updated Business Mailing Address November 19, 2025

Registered at 303 THIRD ST # S719, CAMBRIDGE, MA 021421156

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2025

Dentist (License #DN10000920 in MA)

NPI Profile Active May 23, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2023

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204321)

📍
Updated Business Mailing Address May 23, 2023

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204321)

👤
Provider Name / Credentials Updated May 23, 2023

Recorded as ASHWINI MANJUNATHA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 23, 2023

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: 1568154946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2023
Last Update: November 19, 2025
Sole Proprietor: Yes

Mailing Address

303 Third St # S719

Cambridge, MA 021421156

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.