Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique R Douglas, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1326839887

Dominique R Douglas, DMD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1 Kneeland St
Boston, MA 02111-1527
Phone: (617) 636-6828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1326839887
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 14, 2025
Last updated in NPPESMay 14, 2025
Certification dateMay 12, 2025

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