Practices and organizations, Pediatric dentistry and orthodontics (by name)
NPI
1619497955
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Pediatric Dentistry (1223P0221X)
License number on NPI record
DN20603 (MA)
Authorized official
Kamar Baloul, DMD, Pediatric Dentist
NPI first issued
Jun 27, 2017
Years since NPI first issued
9 years (since 2017)
License state on NPI record
MA
NPI record last updated
Jul 19, 2024
Pediatric dentistry listings at this street address
1 (only this one)
NPI 1619497955 is active in the federal NPPES registry (CMS) with Pediatric Dentistry, an ADA-recognized dental specialty, as its self-reported primary taxonomy; license DN20603 (MA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.
Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Pediatric Dentist Index does not vet, employ, recommend or guarantee pediatric dental practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Pediatric Dentist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error
What these registry facts mean
The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Pediatric dentists are dentists who completed an accredited pediatric dentistry residency after dental school. A registered specialty is not board certification. Verify the dental license with the state dental board and board certification with the American Board of Pediatric Dentistry.
Registered specialty is not board certification. Verify the license with the state dental board and board certification with the American Board of Pediatric Dentistry. Ask which insurance and Medicaid/CHIP plans the practice accepts.