OrganizationActive
Concorddental Implants &periodontics
NPI 1063732477 · Periodontics · Concord, MA
Provider details
- NPI number
- 1063732477
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Mark Wang, President(978) 369-4611
- License
- 18710 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
290 Baker Ave
S205
Concord, MA 01742-2189
Phone: (978) 369-4611
Fax: (978) 369-4622
Street-level locationGet directions
Mailing address
290 Baker Ave
Concord, MA 01742-2189
Registry dates
- Enumerated
- 2010-06-08
- Last updated
- 2010-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.