Individual provider Active NPI

Alla Agamov, D.M.D

  • General Practice Dentistry
  • Sharon, MA
National Provider Identifier
1427273267
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20247 Issued in MA
Practice address
47 Pond St Unit 3
Sharon, MA 02067-2044
Phone
(781) 784-8435
Fax
(784) 784-6598
NPI assigned
Apr 16, 2007
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20247 MA
General Practice Dentistry 1223G0001X 20247 MA Primary

Addresses

Primary practice location

47 Pond St Unit 3
Sharon, MA 02067-2044

Mailing address

267 Hartman Rd
Newton, MA 02459-2815

Other identifiers 1

IdentifierTypeStateIssuer
MA1084778COtherMAMSCR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sharon

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20247MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
In Style Smile Dental, PC Dentist Past Accepting new patients

Organizations & group practices 2

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1427273267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 HARTMAN RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 POND ST UNIT 3",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672044",
            "telephone_number": "781-784-8435",
            "fax_number": "784-784-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAMOV",
        "first_name": "ALLA",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "20247",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSCR",
            "identifier": "MA1084778C",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sharon",
            "affiliation": "N",
            "address_1": "47 Pond St Unit 3",
            "city": "Sharon",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020672044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sharon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.