Periodontology Assoc
Dentist, Periodontics in Concord, Massachusetts
1407964901- Practice location
- 290 Baker Ave, S103, Concord, MA 01742
- Phone
- 978-369-5521
- Fax
- 978-369-5591
- Last updated
- August 22, 2020
Periodontology Assoc is a healthcare organization based in Concord, MA. Periodontology Assoc practices in Concord, MA. The NPI Number for Periodontology Assoc is 1407964901 and holds a License No. 19000 (MA). The current practice location address for Periodontology Assoc is 290 Baker Ave, S103, Concord, MA 01742 and can be reached out via phone at 978-369-5521 and via fax at 978-369-5591.
Provider Profile Details
- NPI Number
- 1407964901
- Provider Name
- Periodontology Assoc
- Provider Entity Type
- Organization
- Address
- 290 Baker Ave, S103, Concord, MA 01742
- Phone Number
- 978-369-5521
- Fax Number
- 978-369-5591
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Organization Subpart
- No
- Authorized Official
- Dr. Jeffrey B Freedman, DDS · Owner · 978-369-5521
- Provider Enumeration Date
- August 26, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 290 Baker Ave
S103
Concord, MA 01742 - City
- Concord
- State
- Massachusetts
- Zip
- 01742
- Phone Number
- 978-369-5521
- Fax Number
- 978-369-5591
Provider Business Mailing Address Details
- Address
- 290 Baker Ave
S103
Concord, MA 01742 - City
- Concord
- State
- MA
- Zip
- 01742
- Phone Number
- 978-369-5521
- Fax Number
- 978-369-5591
License Information
- License Number (1)
- 19000
- License State (1)
- MA
- Taxonomy (1)
- Dentist, Periodontics · 1223P0300X
- License Number (2)
- 13998
- License State (2)
- MA
- Taxonomy (2)
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Periodontics providers near Concord, MA
View all Dentist, Periodontics providers in Concord →Frequently Asked Questions
What is the NPI number of Periodontology Assoc?
The NPI number of Periodontology Assoc is 1407964901. It was assigned on August 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Periodontology Assoc?
Periodontology Assoc is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 19000.
Where does Periodontology Assoc practice?
The practice location is 290 Baker Ave, S103, Concord, MA 01742. The office can be reached at 978-369-5521 (phone) or 978-369-5591 (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 1407964901 directly on the NPPES registry website.