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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891495164

Ksenia Sundukova, DMD is a Student in an Organized Health Care Education/Training Program in Somerville, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023
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

30 College Ave
Somerville, MA 02144-1914
Phone: (617) 764-2247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN1860063 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891495164
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 6, 2023
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

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