Periodontology Assoc in Concord - Periodontics
Periodontology Assoc - NPI 1407964901
Periodontology Assoc is a Periodontics in Concord, Massachusetts. Periodontology Assoc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontology Assoc is 1407964901. The last update date is 2020-08-22.
Periodontology Assoc's current location address is 290 Baker Ave, Concord, Massachusetts. You can contact this provider via phone number 9783695521 and fax number 9783695591. The mailing address for Periodontology Assoc is 290 Baker Ave, Concord, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontology Assoc |
|---|---|
| Address | 290 Baker Ave, Concord, Massachusetts |
| Phone Number | 9783695521 |
| Fax Number | 9783695591 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Freedman B Jeffrey |
| Credentials | DDS |
| Telephone Number | 9783695521 |
NPI Number Detail
| NPI Number | 1407964901 |
|---|---|
| Provider Enumeration Date | 2006-08-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 290 Baker Ave |
|---|---|
| City | Concord |
| State | Massachusetts (MA) |
| Post Code | 1742 |
| Phone Number | 9783695521 |
| Fax Number | 9783695591 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 19000 |
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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 identification code assigned to Periodontology Assoc by the Centers for Medicare & Medicaid Services?
The Periodontology Assoc has been issued the NPI (National Provider Identifier) 1407964901, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Periodontology Assoc's facilities are geographically located?
The facilities of Periodontology Assoc are physically situated at the following location: 290 Baker Ave, Concord, MA, 1742.
What is Periodontology Assoc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Periodontology Assoc's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
When was the Periodontology Assoc's 1407964901 issued?
The Periodontology Assoc's 1407964901 was issued on 2006-08-26.
When was the information pertaining to Periodontology Assoc most recently updated or revised?
The details related to Periodontology Assoc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.