Active NPIOrganization

Concorddental Implants &periodontics

Dentist, Periodontics in Concord, Massachusetts

NPI Number1063732477
Practice location
290 Baker Ave, S205, Concord, MA 01742-2189
Fax
978-369-4622
Last updated
June 8, 2010

Concorddental Implants &periodontics is a healthcare organization based in Concord, MA. Concorddental Implants &periodontics practices in Concord, MA. The NPI Number for Concorddental Implants &periodontics is 1063732477 and holds a License No. 18710 (MA). The current practice location address for Concorddental Implants &periodontics is 290 Baker Ave, S205, Concord, MA 01742-2189 and can be reached out via phone at 978-369-4611 and via fax at 978-369-4622.

Provider Profile Details

NPI Number
1063732477
Provider Name
Concorddental Implants &periodontics
Provider Entity Type
Organization
Address
290 Baker Ave, S205, Concord, MA 01742-2189
Phone Number
978-369-4611
Fax Number
978-369-4622
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Dr. Mark Y. Wang, DMD · President · 978-369-4611
Provider Enumeration Date
June 8, 2010
Last Update Date
June 8, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
290 Baker Ave
S205
Concord, MA 01742-2189
Zip
01742-2189
Phone Number
978-369-4611
Fax Number
978-369-4622
Concord, MA 01742Get directions →

Provider Business Mailing Address Details

Address
290 Baker Ave
Suite205
Concord, MA 01742-2189
City
Concord
State
MA
Zip
01742-2189
Phone Number
978-369-4611
Fax Number
978-369-4622

License Information

License Number
18710
License State
MA
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Concorddental Implants &periodontics?

The NPI number of Concorddental Implants &periodontics is 1063732477. It was assigned on June 8, 2010 and is currently active in the NPPES registry.

What is the specialty of Concorddental Implants &periodontics?

Concorddental Implants &periodontics is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 18710.

Where does Concorddental Implants &periodontics practice?

The practice location is 290 Baker Ave, S205, Concord, MA 01742-2189. The office can be reached at 978-369-4611 (phone) or 978-369-4622 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063732477 directly on the NPPES registry website.

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