Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104452044 Individual Practitioner Female Practitioner

Dr. Kayla Beth Vasconcellos , DMD

Dentist - General Practice • Milton, MA

Professional Overview & Biography Verified Profile Summary

Dr. Kayla Vasconcellos, DMD is a registered healthcare professional specializing in Dentist - General Practice in Milton, MA. Practice services are available at 480 ADAMS ST STE 206 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

480 Adams St Ste 206

Milton, MA 021864914

Telephone 6176965257
Associated Practice Facility / Clinic
🏢 Harte Dental L.l.c. Facility NPI 1881256519

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Milton, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Milton, 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: 2021-07-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1859036

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

6 Associated Practitioners
Dr. Elizabeth Kaplan , DMD

Dentist - General Practice

NPI 1194004804

Doctor of Dental Medicine

Dr. David Harte , DMD

Dentist - General Practice

NPI 1306971189

Doctor of Dental Medicine

NPI 1417714379

Doctor of Dental Medicine

Dr. Georgia Cullington , DMD

Student in an Organized Health Care Education/Training Program

NPI 1427974468

Doctor of Dental Medicine

Dr. Kimberly Harte , DMD

Dentist - General Practice

NPI 1497161038

Doctor of Dental Medicine

NPI 1598448920

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 22, 2021

Registered at 480 ADAMS ST STE 206, MILTON, MA 021864914 (Tel: 6176965257)

📍
Updated Business Mailing Address July 22, 2021

Registered at 100 STATION LNDG UNIT 1005, MEDFORD, MA 021555198 (Tel: 5085214576)

👤
Provider Name / Credentials Updated July 22, 2021

Recorded as KAYLA VASCONCELLOS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2021

Dentist (License #DN1859036 in MA)

NPI Profile Active March 22, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2020

Registered at 525 E 68TH ST, NEW YORK, NY 100654870 (Tel: 5085214576)

📍
Updated Business Mailing Address March 22, 2020

Registered at 63 BERKELEY ST APT 3, BOSTON, MA 021166378 (Tel: 5085214576)

👤
Provider Name / Credentials Updated March 22, 2020

Recorded as KAYLA VASCONCELLOS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 22, 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: 1104452044
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2020
Last Update: July 22, 2021
Sole Proprietor: No

Mailing Address

100 Station Lndg Unit 1005

Medford, MA 021555198

Phone: 5085214576

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.