Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Roman Mogilevsky, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457915894

Dr. Roman Mogilevsky, DMD is a Student in an Organized Health Care Education/Training Program in Somerville, Massachusetts. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2019
Specialties on file
2
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

128 Broadway
Somerville, MA 02145-3201
Phone: (617) 669-5588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22DI02819800 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457915894
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 30, 2019
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

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