Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1780852277 Deactivated / Inactive NPI Male Practitioner

Dr. Kailash C. Suri , DMD

Dentist • Mattapan, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kailash Suri has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 18, 2008
NPI Deactivation Date June 14, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Kailash Suri, DMD was a registered Dentist practicing in Mattapan, MA. Throughout an active medical career spanning 15 years, Dr. Suri provided care at the practice location at 1199 BLUE HILL AVE until profile deactivation on 2023-06-14.

Practice Location & Contact Primary Location

Practice Address

1199 Blue Hill Ave

Mattapan, MA 021261838

Telephone 6172965500
Fax 6172965502
Associated Practice Facility / Clinic
🏢 Kailash Suri Dmd Inc Facility NPI 1538232418

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mattapan, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
10 Specialists

Practicing in Mattapan, MA (3030 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MA MA11558

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 14, 2023

Record deactivated on June 14, 2023

NPI Profile Active February 18, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 18, 2008

Registered at 1199 BLUE HILL AVE, MATTAPAN, MA 021261838 (Tel: 6172965500)

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Updated Business Mailing Address February 18, 2008

Registered at 1199 BLUE HILL AVE, MATTAPAN, MA 021261838 (Tel: 6172965500)

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Provider Name / Credentials Updated February 18, 2008

Recorded as KAILASH SURI, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2008

Dentist (License #MA11558 in MA)

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Initial NPI Registration & Enumeration February 18, 2008

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: 1780852277
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2008
Last Update: February 18, 2008
Deactivation Date: June 14, 2023

Mailing Address

1199 Blue Hill Ave

Mattapan, MA 021261838

Phone: 6172965500

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.