Mark Charles Derkazarian in Cambridge - Periodontics
Mark Charles Derkazarian - NPI 1841331097
Mark Charles Derkazarian is a Periodontics in Cambridge, Massachusetts. Mark Charles Derkazarian practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mark Charles Derkazarian is 1841331097. The last update date is 2019-08-02.
Mark Charles Derkazarian's current location address is 1692 Massachusetts Ave, Cambridge, Massachusetts. You can contact this provider via phone number 6178645444 and fax number 6175760109. The mailing address for Mark Charles Derkazarian is 1692 Massachusetts Ave, Cambridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Charles Derkazarian |
|---|---|
| Address | 1692 Massachusetts Ave, Cambridge, Massachusetts |
| Phone Number | 6178645444 |
| Fax Number | 6175760109 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1841331097 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2019-08-02 |
Provider Mailing Address Detail
| Address | 1692 Massachusetts Ave |
|---|---|
| City | Cambridge |
| State | Massachusetts (MA) |
| Post Code | 21381803 |
| Phone Number | 6178645444 |
| Fax Number | 6175760109 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 20494 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark Charles Derkazarian by the Centers for Medicare & Medicaid Services?
The Mark Charles Derkazarian has been issued the NPI (National Provider Identifier) 1841331097 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mark Charles Derkazarian is physically located?
The Mark Charles Derkazarian is physically situated at the following address: 1692 Massachusetts Ave, Cambridge, MA, 21381803.
What is the Mark Charles Derkazarian's area of specialization and corresponding taxonomy classification?
The Mark Charles Derkazarian's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date did the Mark Charles Derkazarian receive the assignment of its 1841331097 from the Centers for Medicare & Medicaid Services?
The Mark Charles Derkazarian was issued its 1841331097 by the Centers for Medicare & Medicaid Services on 2007-02-09.
As of what date was the information pertaining to Mark Charles Derkazarian, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Charles Derkazarian, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-08-02.