Angel Idiculla, BDS, MDS, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN10000867 Issued in MA

Practice address

126 Union St
Marlborough, MA 01752-1207

Phone

(508) 251-6122

NPI assigned

Mar 29, 2024

Last updated

Aug 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1174374805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOUNT ROYAL AVE STE 300",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521900",
            "telephone_number": "508-861-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 UNION ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521207",
            "telephone_number": "508-251-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDICULLA",
        "first_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "BDS, MDS, DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN10000867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jungsun Hyun
• I-Smile Dental Arts Studio PC (Innova Smiles)
• Mahmood Ibrahim
• Nadifo Osman Ibrahim
• Elizabeth Ibwe
• Jacqueline Rose Igulu
• Olivia Iles
• Indelible Homecare Inc
• Edward Fred Ingerman, D.D.S.
• Ariel Inguanti, PHARMD

• Dentist in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.