Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124163704 Individual Practitioner Male Practitioner

Dr. Paul Walter Ponichtera , DMD

Dentist - General Practice • Milton, MA

Professional Overview & Biography Verified Profile Summary

Dr. Paul Ponichtera, DMD is a registered healthcare professional specializing in Dentist - General Practice in Milton, MA. Practice services are available at 25 HIGH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25 High St

Milton, MA 021863426

Telephone 6176964300
Associated Practice Facility / Clinic
🏢 Paul A. Fugazzotto,dds, Pc Facility NPI 1073867529

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA 11595

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

4 Associated Practitioners
Dr. Paul Fugazzotto , DDS

Dentist - Periodontics

NPI 1235254681

Doctor of Dental Surgery

Ronnie Mackie , NP

Nurse Practitioner - Acute Care

NPI 1386020063

Nurse Practitioner

Dr. Andrew Brodsky , DMD, MS

Dentist - Periodontics

NPI 1548755481

Doctor of Dental Medicine, Master of Science

Dr. Anya Rost , DMD

Dentist - Periodontics

NPI 1720367022

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 25 HIGH ST, MILTON, MA 021863426 (Tel: 6176964300)

📍
Updated Business Mailing Address July 08, 2007

Registered at BOX 870061, MILTON, MA 021870061 (Tel: 6176964300)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL PONICHTERA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #11595 in MA)

🟢
Initial NPI Registration & Enumeration February 21, 2007

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: 1124163704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Box 870061

Milton, MA 021870061

Phone: 6176964300

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.