Dr. Mark C Derkazarian, DMD
Dentist, Periodontics in Cambridge, Massachusetts
1841331097- Practice location
- 1692 Massachusetts Ave, Cambridge, MA 02138-1803
- Phone
- 617-864-5444
- Fax
- 617-576-0109
- Last updated
- August 2, 2019
Mark Charles Derkazarian is a Dentist, Periodontics based in Cambridge, MA. Mark Charles Derkazarian practices in Cambridge, MA and has the professional credentials of DMD. The NPI Number for Mark Charles Derkazarian is 1841331097 and holds a License No. 20494 (MA). The current practice location address for Mark Charles Derkazarian is 1692 Massachusetts Ave, Cambridge, MA 02138-1803 and can be reached out via phone at 617-864-5444 and via fax at 617-576-0109.
Provider Profile Details
- NPI Number
- 1841331097
- Provider Name
- Mark Charles Derkazarian
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1692 Massachusetts Ave, Cambridge, MA 02138-1803
- Phone Number
- 617-864-5444
- Fax Number
- 617-576-0109
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 9, 2007
- Last Update Date
- August 2, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1692 Massachusetts Ave
Cambridge, MA 02138-1803 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02138-1803
- Phone Number
- 617-864-5444
- Fax Number
- 617-576-0109
Provider Business Mailing Address Details
- Address
- 1692 Massachusetts Ave
Cambridge, MA 02138-1803 - City
- Cambridge
- State
- MA
- Zip
- 02138-1803
- Phone Number
- 617-864-5444
- Fax Number
- 617-576-0109
License Information
- License Number
- 20494
- License State
- MA
- Taxonomy
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Mark C Derkazarian, DMD?
The NPI number of Dr. Mark C Derkazarian, DMD is 1841331097. It was assigned on February 9, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark C Derkazarian, DMD?
Dr. Mark C Derkazarian, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 20494.
Where does Dr. Mark C Derkazarian, DMD practice?
The practice location is 1692 Massachusetts Ave, Cambridge, MA 02138-1803. The office can be reached at 617-864-5444 (phone) or 617-576-0109 (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 1841331097 directly on the NPPES registry website.