Individual provider · Type 1 NPI

Angel Idiculla, BDS, MDS, DMD

Dentist · Marlborough, MA

NPI number 1174374805 Active

Practice location

126 Union St
Marlborough, MA 01752-1207

Call (508) 251-6122 Map

Mailing address

5 Mount Royal Ave Ste 300
Marlborough, MA 01752-1900

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN10000867 (MA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1174374805

Angel Idiculla, BDS, MDS, DMD's National Provider Identifier is 1174374805, issued on Mar 29, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Marlborough, MA. The record was last updated on Aug 7, 2025.