Monument Dental P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MONUMENT DENTAL P.C.

Practice address

40 Warren St # 3B
Charlestown, MA 02129-3608

Phone

(617) 398-0640

NPI assigned

Jun 25, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Koren, DMD

Title

Owner

Phone

(217) 653-1657

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1295623759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 GREEN ST",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021292534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WARREN ST # 3B",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293608",
            "telephone_number": "617-398-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "KOREN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-653-1657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Charlestown, MA
• Providers in Charlestown, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.