Active NPIOrganization

Cambridge Periodontics

Dentist, Periodontics in Cambridge, Massachusetts

NPI Number1700896164
Practice location
1692 Massachusetts Avenue, Cambridge, MA 02138
Fax
617-547-0109
Last updated
May 3, 2012

Cambridge Periodontics is a healthcare organization based in Cambridge, MA. Cambridge Periodontics practices in Cambridge, MA. The NPI Number for Cambridge Periodontics is 1700896164. The current practice location address for Cambridge Periodontics is 1692 Massachusetts Avenue, Cambridge, MA 02138 and can be reached out via phone at 617-864-5444 and via fax at 617-547-0109.

Provider Profile Details

NPI Number
1700896164
Provider Name
Cambridge Periodontics
Provider Entity Type
Organization
Address
1692 Massachusetts Avenue, Cambridge, MA 02138
Phone Number
617-864-5444
Fax Number
617-547-0109
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Dr. Mark C Derkazarian · Partner · 617-864-5444
Provider Enumeration Date
August 9, 2006
Last Update Date
May 3, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1692 Massachusetts Avenue
Cambridge, MA 02138
Zip
02138
Phone Number
617-864-5444
Fax Number
617-547-0109
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
1692 Massachusetts Avenue
Cambridge, MA 02138
City
Cambridge
State
MA
Zip
02138
Phone Number
617-864-5444
Fax Number
617-547-0109

License Information

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 Cambridge Periodontics?

The NPI number of Cambridge Periodontics is 1700896164. It was assigned on August 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Cambridge Periodontics?

Cambridge Periodontics is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X).

Where does Cambridge Periodontics practice?

The practice location is 1692 Massachusetts Avenue, Cambridge, MA 02138. The office can be reached at 617-864-5444 (phone) or 617-547-0109 (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 1700896164 directly on the NPPES registry website.

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