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PEDIATRIC DENTISTRY
NPI 1629055793
Dentist - Pediatric Dentistry in Concord, MA

Active since December 29, 2005
290 BAKER AVE, STE. 228NORTH, CONCORD, MA 01742(978) 369-7771(978) 371-2031 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dentistry NPPES

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

PEDIATRIC DENTISTRY (NPI 1629055793) is a healthcare organization registered as a pediatric dentistry in Concord, Massachusetts and active in the NPI registry since December 2005. The organization lists Neale I. Eckstein, Dentist, as its authorized official.

NPPES Registry Identity

NPI1629055793
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY
Location Address290 BAKER AVE, STE. 228NORTHConcord, MA 01742-2189
Mailing Address290 Baker Ave, Ste. 228northConcord, MA 01742-2189 · (978) 369-7771 · Fax (978) 371-2031
Phone(978) 369-7771
Fax(978) 371-2031
Organization SubpartNo
Authorized OfficialNeale I. EcksteinDentist · (978) 369-7771
Enumeration DateDecember 29, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629055793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MA · 13469
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
290 BAKER AVE, Concord, MA 01742
Open in Google Maps ↗

Other Identifiers 1

Medicaid0296287MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Pediatric Dentistry's NPI number?

The NPI number for Pediatric Dentistry is 1629055793. It was assigned to this organization in the NPPES registry on December 29, 2005.

Where is Pediatric Dentistry located?

Pediatric Dentistry is located at 290 Baker Ave Ste. 228north, Concord, MA 01742. The listed phone number is (978) 369-7771.

What is Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry 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.