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CAMBRIDGE PERIODONTICS
NPI 1700896164
Dentist - Periodontics in Cambridge, MA

Active since August 09, 2006
1692 MASSACHUSETTS AVENUE, CAMBRIDGE, MA 02138(617) 864-5444(617) 547-0109 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cambridge Periodontics NPPES

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

CAMBRIDGE PERIODONTICS (NPI 1700896164) is a healthcare organization registered as a periodontics in Cambridge, Massachusetts and active in the NPI registry since August 2006. The organization lists Mark C Derkazarian, Partner, as its authorized official.

NPPES Registry Identity

NPI1700896164
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCAMBRIDGE PERIODONTICS
Location Address1692 MASSACHUSETTS AVENUECambridge, MA 02138
Mailing Address1692 Massachusetts AvenueCambridge, MA 02138 · (617) 864-5444 · Fax (617) 547-0109
Phone(617) 864-5444
Fax(617) 547-0109
Organization SubpartNo
Authorized OfficialMark C DerkazarianPartner · (617) 864-5444
Enumeration DateAugust 9, 2006
Last NPPES UpdateMay 3, 2012
✔ NPI 1700896164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
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.
1692 MASSACHUSETTS AVENUE, Cambridge, MA 02138
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Cambridge Periodontics's NPI number?

The NPI number for Cambridge Periodontics is 1700896164. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Cambridge Periodontics located?

Cambridge Periodontics is located at 1692 Massachusetts Avenue, Cambridge, MA 02138. The listed phone number is (617) 864-5444.

What is Cambridge Periodontics's specialty?

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

What insurance does Cambridge Periodontics accept?

Health plans from UnitedHealthcare list Cambridge Periodontics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cambridge Periodontics was last updated on May 3, 2012. 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.