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Dr. Talar Kiladjian, DMD

Dentist, General Practice in Roxbury, MA. Individual provider (NPI-1).

NPI number1639748296
StatusActive
Last updated in NPPESAug 16, 2021

Details

NPI
1639748296
Entity type
Individual (NPI-1)
Name
Dr. Talar Kiladjian
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2021
Certification date
Aug 16, 2021
Last updated
Aug 16, 2021

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 codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN1859109MAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

3033 Washington St
Roxbury, MA 02119-1227

Phone 617-541-2200

Mailing address

543 Massachusetts Ave Apt 2
Boston, MA 02118-1474

Phone 781-572-4165

Other practice locations

1842 Beacon St Ste 102
Brookline, MA 02445-1977

Phone 617-738-1232

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Practice Dentistry providers in Roxbury, MA

All 17 General Practice Dentistry providers in Roxbury · All 1,152 providers in Roxbury

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