Organization · Type 2 NPI

Periodontology Assoc

Periodontics · Concord, MA

NPI number 1407964901 Active

Practice location

290 Baker Ave, S103
Concord, MA 01742

Fax (978) 369-5591

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X13998 (MA)
Periodontics 1223P0300X19000 (MA)

Periodontics: 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 structures and tissues.

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About NPI 1407964901

Periodontology Assoc's National Provider Identifier is 1407964901, issued on Aug 26, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Concord, MA. The record was last updated on Aug 22, 2020.