OrganizationActive
Fresh Pond Dental LLC
NPI 1134496904 · Dental Clinic/Center · Cambridge, MA
Fresh Pond Dental LLC is a Dental Clinic/Center organization in Cambridge, MA (NPI 1134496904).
Provider details
- NPI number
- 1134496904
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrey Mazo, Owner(617) 285-6414
- License
- 18643 (MA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
180 Alewife Brook Pkwy
Cambridge, MA 02138-1102
Phone: (617) 547-0700
Street-level locationGet directions
Mailing address
180 Alewife Brook Pkwy
Cambridge, MA 02138-1102
Registry dates
- Enumerated
- 2011-11-22
- Last updated
- 2011-11-22
Frequently asked questions
- What is Fresh Pond Dental LLC's NPI number?
- Fresh Pond Dental LLC's National Provider Identifier (NPI) is 1134496904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fresh Pond Dental LLC?
- Fresh Pond Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fresh Pond Dental LLC located?
- Fresh Pond Dental LLC's practice location on file with NPPES is 180 Alewife Brook Pkwy, Cambridge, MA 02138-1102.
- What is Fresh Pond Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Fresh Pond Dental LLC is (617) 547-0700.
- Who is the authorized official for Fresh Pond Dental LLC?
- The authorized official listed on Fresh Pond Dental LLC's NPPES record is Andrey Mazo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fresh Pond Dental LLC's NPI active?
- Yes — Fresh Pond Dental LLC's NPI (1134496904) is active in the NPPES registry as of the last update on 2011-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.