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

Kentaro Ikeda, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1467582577

Kentaro Ikeda, DDS is a Dentist in Boston, Massachusetts. Qualified in 1999, 27 years ago. Practices with Dana-Farber Cancer Institute, Inc, a 668-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and North Carolina.

Years since qualifying
27
Licensed in
MA, NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

15 Parkman St
Boston, MA 02114-3117
Phone: (617) 726-7240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13065 E 17th Ave, Aurora, CO 80045-2532 — (303) 724-5505

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DF11935 (MA)
Dentist Taxonomy 122300000X · Licence 150533 (NC)

Record details

NPI number1467582577
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address13065 E 17th Ave, Mail Stop F844, Aurora, CO 80045-2532

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Dana-Farber Cancer Institute, Inc. — 668 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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