Ghassan Khoury Dmd, PC
Dentist, General Practice in Somerville, MA. Organization (NPI-2).
NPI number1053920108
StatusActive
Last updated in NPPESMar 2, 2026
Details
- NPI
- 1053920108
- Entity type
- Organization (NPI-2)
- Legal business name
- Ghassan Khoury Dmd, PC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2020
- Certification date
- Mar 2, 2026
- Last updated
- Mar 2, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – |
Other names
- Kappa Dental Group (Other Name)
Practice location
402 Washington StSomerville, MA 02143-3823
Phone 617-666-4444
Mailing address
402 Washington StSomerville, MA 02143-3823
Phone 617-666-4444
Authorized official
Ghassan Khoury
Owner
6176664444
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