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: July 19, 2026.

  • Organization
  • Dentist
  • Endodontics

About MEDFORD ENDODONTICS, LLC

This page provides the complete NPI Profile along with additional information for Medford Endodontics, Llc, a provider established in Medford, Massachusetts operating as a Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1780974477 assigned on April 2011. The practitioner's primary taxonomy code is 1223E0200X with license number 20514 (MA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Mark G Wang D.m.d. (President)

NPI
1780974477 Verify this NPI
Provider Name
MEDFORD ENDODONTICS, LLC
Entity Type
Organization
Location Address
ZERO GOVERNORS AVENUE, SUITE 30 MEDFORD, MA 02155
Location Phone
(781) 391-5100
Location Fax
(781) 391-4833
Mailing Address
ZERO GOVERNORS AVENUE., SUITE 30 MEDFORD, MA 02155
Mailing Phone
(781) 391-5100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2011
Last Update Date
04-14-2011
Code Navigator

A dentist like Medford Endodontics, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Endodontics

Taxonomy Code
1223E0200X
Type
Dental Providers
License No.
20514
License State
MA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARK G WANG D.M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(781) 391-5100

Reviews for MEDFORD ENDODONTICS, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780974477, enumerated as an "organization" on April 14, 2011.

The provider is located at ZERO GOVERNORS AVENUE, SUITE 30 MEDFORD, MA 02155 and the phone number is (781) 391-5100.

Dentist with taxonomy code 1223E0200X and a focus in Endodontics.