Active NPIOrganization

Medford Endodontics, LLC

Dentist, Endodontics in Medford, Massachusetts

NPI Number1780974477
Practice location
Zero Governors Avenue, Suite 30, Medford, MA 02155-3006
Fax
781-391-4833
Last updated
April 14, 2011

Medford Endodontics, LLC is a healthcare organization based in Medford, MA. Medford Endodontics, LLC practices in Medford, MA. The NPI Number for Medford Endodontics, LLC is 1780974477 and holds a License No. 20514 (MA). The current practice location address for Medford Endodontics, LLC is Zero Governors Avenue, Suite 30, Medford, MA 02155-3006 and can be reached out via phone at 781-391-5100 and via fax at 781-391-4833.

Provider Profile Details

NPI Number
1780974477
Provider Name
Medford Endodontics, LLC
Provider Entity Type
Organization
Address
Zero Governors Avenue, Suite 30, Medford, MA 02155-3006
Phone Number
781-391-5100
Fax Number
781-391-4833
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Organization Subpart
No
Authorized Official
Dr. Mark G Wang, DMD · President · 781-391-5100
Provider Enumeration Date
April 14, 2011
Last Update Date
April 14, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
Zero Governors Avenue, Suite 30
Medford, MA 02155-3006
Zip
02155-3006
Phone Number
781-391-5100
Fax Number
781-391-4833
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
Zero Governors Avenue., Suite 30
Medford, MA 02155-0000
City
Medford
State
MA
Zip
02155-0000
Phone Number
781-391-5100

License Information

License Number
20514
License State
MA
Taxonomy
Dentist, Endodontics · 1223E0200X · 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 Medford Endodontics, LLC?

The NPI number of Medford Endodontics, LLC is 1780974477. It was assigned on April 14, 2011 and is currently active in the NPPES registry.

What is the specialty of Medford Endodontics, LLC?

Medford Endodontics, LLC is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in MA under license number 20514.

Where does Medford Endodontics, LLC practice?

The practice location is Zero Governors Avenue, Suite 30, Medford, MA 02155-3006. The office can be reached at 781-391-5100 (phone) or 781-391-4833 (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 1780974477 directly on the NPPES registry website.

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