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FRESH POND DENTAL LLC
NPI 1134496904
Clinic/Center - Dental in Cambridge, MA

Active since November 22, 2011
180 ALEWIFE BROOK PKWY, CAMBRIDGE, MA 02138(617) 547-0700 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fresh Pond Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESH POND DENTAL LLC (NPI 1134496904) is a healthcare organization registered as a dental in Cambridge, Massachusetts and active in the NPI registry since November 2011. The organization lists Andrey Mazo, Owner, as its authorized official.

NPPES Registry Identity

NPI1134496904
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFRESH POND DENTAL LLC
Location Address180 ALEWIFE BROOK PKWYCambridge, MA 02138-1102
Mailing Address180 Alewife Brook PkwyCambridge, MA 02138-1102 · (617) 547-0700
Phone(617) 547-0700
Organization SubpartNo
Authorized OfficialAndrey MazoOwner · (617) 285-6414
Enumeration DateNovember 22, 2011
✔ NPI 1134496904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MA · 18643
180 ALEWIFE BROOK PKWY, Cambridge, MA 02138
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARIUS RENE ILANO TENORIO DDS
Dentist
180 ALEWIFE BROOK PKWY
CAMBRIDGE, MA 02138
Middlesex County (617) 547-9100
42 NORTH DENTAL CARE, LLC
Clinic/Center (Dental)
180 ALEWIFE BROOK PKWY
CAMBRIDGE, MA 02138
Middlesex County (617) 539-2524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fresh Pond Dental LLC's NPI number?

The NPI number for Fresh Pond Dental LLC is 1134496904. It was assigned to this organization in the NPPES registry on November 22, 2011.

Where is Fresh Pond Dental LLC located?

Fresh Pond Dental LLC is located at 180 Alewife Brook Pkwy, Cambridge, MA 02138. The listed phone number is (617) 547-0700.

What is Fresh Pond Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Fresh Pond Dental LLC was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.