PERIODONTOLOGY ASSOC
NPI 1407964901
Dentist - Periodontics in Concord, MA

Q: What is Periodontology Assoc's NPI number?

The NPI number for Periodontology Assoc is 1407964901. It was assigned to this organization in the NPPES registry on August 26, 2006.

Q: What is Periodontology Assoc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since August 26, 2006

290 BAKER AVE, S103, CONCORD, MA 01742(978) 369-5521(978) 369-5591 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Periodontology Assoc NPPES

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

PERIODONTOLOGY ASSOC (NPI 1407964901) is a healthcare organization registered as a periodontics in Concord, Massachusetts and active in the NPI registry since August 2006. The organization lists Jeffrey B Freedman, Owner, as its authorized official.

NPPES Registry Identity

NPI1407964901

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NamePERIODONTOLOGY ASSOC

Location Address290 BAKER AVE, S103Concord, MA 01742

Mailing Address290 Baker Ave, S103Concord, MA 01742 · (978) 369-5521 · Fax (978) 369-5591

Phone(978) 369-5521

Fax(978) 369-5591

Organization SubpartNo

Authorized OfficialJeffrey B FreedmanOwner · (978) 369-5521

Enumeration DateAugust 26, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1407964901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in MA · 13998✔ Licensed in MA · 19000

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 structures and tissues.

290 BAKER AVE, Concord, MA 01742

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. TERRY P HADLEY M.D.

Dermatology

290 BAKER AVE
CONCORD, MA 01742

Middlesex County (978) 369-9023

CONCORD-CARLISLE DENTAL ASSOCIATES, PC

Dentist (General Practice)

290 BAKER AVE, SUITE 201 SOUTH
CONCORD, MA 01742

Middlesex County (978) 369-3088

CONCORDDENTAL IMPLANTS &PERIODONTICS

Dentist (Periodontics)

290 BAKER AVE, S205
CONCORD, MA 01742

Middlesex County (978) 369-4611

PHYSICAL THERAPY ASSOC OF CONCORD

Physical Therapist

290 BAKER AVE, STE 111
CONCORD, MA 01742

Middlesex County (978) 369-0730

MARK Y WANG DMD PC

Dentist (General Practice)

290 BAKER AVE, SUITE 104
CONCORD, MA 01742

Middlesex County (978) 369-6611

DR. NORMAN LEON GOLDBERG DMD

Dentist (Pediatric Dentistry)

290 BAKER AVE
CONCORD, MA 01742

Middlesex County (978) 369-7771

MATTHEW T ZIPOLI MD

Dermatology (MOHS-Micrographic Surgery)

290 BAKER AVE
CONCORD, MA 01742

Middlesex County (978) 369-9023

CONCORD ORTHOPEDICS, INC

Neuromusculoskeletal Medicine, Sports Medicine

290 BAKER AVE
CONCORD, MA 01742

Middlesex County (978) 369-1337

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 Periodontology Assoc's NPI number?

The NPI number for Periodontology Assoc is 1407964901. It was assigned to this organization in the NPPES registry on August 26, 2006.

Where is Periodontology Assoc located?

Periodontology Assoc is located at 290 Baker Ave S103, Concord, MA 01742. The listed phone number is (978) 369-5521.

What is Periodontology Assoc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontology Assoc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.