Active NPI 1689991333 Individual Practitioner Female Practitioner

Dr. Irida Dautaj , DMD

Dentist - General Practice • Somerville, MA

Professional Overview & Biography Verified Profile Summary

Dr. Irida Dautaj, DMD is a registered healthcare professional specializing in Dentist - General Practice in Somerville, MA. Practice services are available at 109 COLLEGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 College Ave

Somerville, MA 021442057

Telephone 6176661613

Associated Practice Facility / Clinic

🏢 Lorna Lally Dmd Pc Facility NPI 1982063236

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Somerville, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

29 Specialists

Practicing in Somerville, 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: 2022-12-01

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1855687

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.

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 01, 2022

Registered at 109 COLLEGE AVE, SOMERVILLE, MA 021442057 (Tel: 6176661613)

📍

Updated Business Mailing Address December 01, 2022

Registered at 109 COLLEGE AVE, SOMERVILLE, MA 021442057 (Tel: 6176661613)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2022

Dentist (License #DN1855687 in MA)

✅

NPI Profile Active April 20, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 20, 2010

Registered at 75 FRANCIS ST, BOSTON, MA 021156110 (Tel: 6177326861)

📍

Updated Business Mailing Address April 20, 2010

Registered at 725 FRANKLIN AVE, HARTFORD, CT 061143036 (Tel: 8602098288)

👤

Provider Name / Credentials Updated April 20, 2010

Recorded as IRIDA DAUTAJ, D.M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2010

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 20, 2010

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: 1689991333

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 20, 2010

Last Update: December 01, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

109 College Ave

Somerville, MA 021442057

Phone: 6176661613

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.