JANNET MATHEW DMD NPI 1063221919

NPI Information

  • NPI: 1063221919
  • Provider Name: JANNET MATHEW, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 250 MOUNT VERNON ST
    BOSTON, MA
    ZIP 02125
  • Phone: (617) 288-1140

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NPI Details

Jannet Mathew, DMD is a general practice dentist in Boston, MA with 1 years of experience. The provider is 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. Jannet Mathew, DMD NPI is 1063221919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduation Year:2025

The provider's business location address is:

250 MOUNT VERNON ST
BOSTON, MA
ZIP 02125-120
Phone: (617) 288-1140

The NPI 1063221919 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/6/2025 and was last updated on 9/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDL100986MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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