Individual provider Active NPI

Ambereen Fatima, DDS

  • General Practice Dentistry
  • Marlborough, MA
National Provider Identifier
1124450705
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856412 Issued in MA
Practice address
340 Maple St Ste 100
Marlborough, MA 01752-3231
Phone
(508) 481-0110
Fax
(508) 481-7110
NPI assigned
Aug 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1856412 MA Primary

Addresses

Primary practice location

340 Maple St Ste 100
Marlborough, MA 01752-3231

Mailing address

340 Maple St Ste 100
Marlborough, MA 01752-3231
Phone (508) 481-0110

Other names 1

  • Fnu Ambereen Fatima Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160302001245 MA Order and Referring Only - DentistPractitioner - Dentist 1951621416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
I-Smile Dental Arts Studio PC General Practice CurrentSince Feb 23, 2025 Accepting new patients

Locations

340 Maple St
Ste 100
Marlborough, MA 01752
Phone (508) 481-0110

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1124450705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAPLE ST STE 100",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523231",
            "telephone_number": "508-481-0110",
            "fax_number": "508-481-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAPLE ST STE 100",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523231",
            "telephone_number": "508-481-0110",
            "fax_number": "508-481-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATIMA",
        "first_name": "AMBEREEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FNU",
            "last_name": "FATIMA",
            "middle_name": "AMBEREEN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.