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MEDFORD ENDODONTICS, LLC
NPI 1780974477
Dentist - Endodontics in Medford, MA

Active since April 14, 2011
ZERO GOVERNORS AVENUE, SUITE 30, MEDFORD, MA 02155(781) 391-5100(781) 391-4833 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medford Endodontics, Llc NPPES

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

MEDFORD ENDODONTICS, LLC (NPI 1780974477) is a healthcare organization registered as an endodontics in Medford, Massachusetts and active in the NPI registry since April 2011. The organization lists Mark G Wang, President, as its authorized official.

NPPES Registry Identity

NPI1780974477
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameMEDFORD ENDODONTICS, LLC
Location AddressZERO GOVERNORS AVENUE, SUITE 30Medford, MA 02155-3006
Mailing AddressZero Governors Avenue., Suite 30Medford, MA 02155-0000 · (781) 391-5100
Phone(781) 391-5100
Fax(781) 391-4833
Organization SubpartNo
Authorized OfficialMark G WangPresident · (781) 391-5100
Enumeration DateApril 14, 2011
✔ NPI 1780974477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MA · 20514
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
ZERO GOVERNORS AVENUE, SUITE 30, Medford, MA 02155
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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

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 Medford Endodontics, LLC's NPI number?

The NPI number for Medford Endodontics, LLC is 1780974477. It was assigned to this organization in the NPPES registry on April 14, 2011.

Where is Medford Endodontics, LLC located?

Medford Endodontics, LLC is located at Zero Governors Avenue, Suite 30, Medford, MA 02155. The listed phone number is (781) 391-5100.

What is Medford Endodontics, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Medford Endodontics, LLC was last updated on April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.