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CAMBRIDGE PERIODONTICS LLC
NPI 1790330298
Dentist - Periodontics in Cambridge, MA

Active since August 02, 2019
1692 MASSACHUSETTS AVE STE 3, CAMBRIDGE, MA 02138(617) 864-5444 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Cambridge Periodontics Llc NPPES

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

CAMBRIDGE PERIODONTICS LLC (NPI 1790330298) is a healthcare organization registered as a periodontics in Cambridge, Massachusetts and active in the NPI registry since August 2019. The organization lists Mark Derkazarian, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1790330298
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCAMBRIDGE PERIODONTICS LLC
Location Address1692 MASSACHUSETTS AVE STE 3Cambridge, MA 02138
Mailing Address1692 Massachusetts Ave Ste 3Cambridge, MA 02138 · (617) 864-5444
Phone(617) 864-5444
Organization SubpartNo
Authorized OfficialMark DerkazarianPeriodontist · (617) 864-5444
Enumeration DateAugust 2, 2019
✔ NPI 1790330298 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 AVE STE 3, 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

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 LLC's NPI number?

The NPI number for Cambridge Periodontics LLC is 1790330298. It was assigned to this organization in the NPPES registry on August 2, 2019.

Where is Cambridge Periodontics LLC located?

Cambridge Periodontics LLC is located at 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138. The listed phone number is (617) 864-5444.

What is Cambridge Periodontics LLC'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 Cambridge Periodontics LLC was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.