Active NPIOrganization

Cambridge Periodontics LLC

Dentist, Periodontics in Cambridge, Massachusetts

NPI Number1790330298
Practice location
1692 Massachusetts Ave Ste 3, Cambridge, MA 02138
Fax
—
Last updated
August 2, 2019

Cambridge Periodontics LLC is a healthcare organization based in Cambridge, MA. Cambridge Periodontics LLC practices in Cambridge, MA. The NPI Number for Cambridge Periodontics LLC is 1790330298. The current practice location address for Cambridge Periodontics LLC is 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 and can be reached out via phone at 617-864-5444.

Provider Profile Details

NPI Number
1790330298
Provider Name
Cambridge Periodontics LLC
Provider Entity Type
Organization
Address
1692 Massachusetts Ave Ste 3, Cambridge, MA 02138
Phone Number
617-864-5444
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Mark Derkazarian, DMD · Periodontist · 617-864-5444
Provider Enumeration Date
August 2, 2019
Last Update Date
August 2, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1692 Massachusetts Ave Ste 3
Cambridge, MA 02138
Zip
02138
Phone Number
617-864-5444
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
1692 Massachusetts Ave Ste 3
Cambridge, MA 02138
City
Cambridge
State
MA
Zip
02138
Phone Number
617-864-5444

License Information

Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

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

Other Dentist, Periodontics providers near Cambridge, MA

View all Dentist, Periodontics providers in Cambridge →

Frequently Asked Questions

What is the NPI number of Cambridge Periodontics LLC?

The NPI number of Cambridge Periodontics LLC is 1790330298. It was assigned on August 2, 2019 and is currently active in the NPPES registry.

What is the specialty of Cambridge Periodontics LLC?

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

Where does Cambridge Periodontics LLC practice?

The practice location is 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138. The office can be reached at 617-864-5444 (phone).

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 1790330298 directly on the NPPES registry website.

Browse related providers