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Active NPI 1952471708 Individual Practitioner Male Practitioner

Dr. Rafael Villacorta , DMD

Dentist - General Practice • Waltham, MA

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Villacorta, DMD is a registered healthcare professional specializing in Dentist - General Practice in Waltham, MA. Practice services are available at 24 CRESCENT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24 Crescent St
Ste 303

Waltham, MA 02453

Telephone 7818915637
Fax 7818918926
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waltham, MA

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

Practicing in Waltham, 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 18063

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9708049 (MA)
Medicaid State Provider ID
0274771 (MA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Tacuhi Tacvorian , DMD

Dentist - General Practice

NPI 1023101300

Doctor of Dental Medicine

Wilson Musobya

Specialist/Technologist, Health Information

NPI 1518687037

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 24 CRESCENT ST, STE 303, WALTHAM, MA 02453 (Tel: 7818915637)

📍
Updated Business Mailing Address July 08, 2007

Registered at 24 CRESCENT ST, STE 303, WALTHAM, MA 02453 (Tel: 7818915637)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RAFAEL VILLACORTA, DMD

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

Dentist (License #18063 in MA)

🟢
Initial NPI Registration & Enumeration November 09, 2006

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: 1952471708
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

24 Crescent St, Ste 303

Waltham, MA 02453

Phone: 7818915637

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.