OrganizationActive
Periodontology Assoc
NPI 1407964901 · Periodontics · Concord, MA
Periodontology Assoc is a Periodontics organization in Concord, MA (NPI 1407964901).
Provider details
- NPI number
- 1407964901
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Freedman, Owner(978) 369-5521
- License
- 19000 (MA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
S103
Concord, MA 01742
Phone: (978) 369-5521
Fax: (978) 369-5591
Street-level locationGet directions
Mailing address
290 Baker Ave
Concord, MA 01742
Registry dates
- Enumerated
- 2006-08-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Periodontology Assoc's NPI number?
- Periodontology Assoc's National Provider Identifier (NPI) is 1407964901, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontology Assoc?
- Periodontology Assoc is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontology Assoc located?
- Periodontology Assoc's practice location on file with NPPES is 290 Baker Ave, Concord, MA 01742.
- What is Periodontology Assoc's phone number?
- The practice phone number listed in the NPPES registry for Periodontology Assoc is (978) 369-5521.
- Who is the authorized official for Periodontology Assoc?
- The authorized official listed on Periodontology Assoc's NPPES record is Jeffrey Freedman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontology Assoc's NPI active?
- Yes — Periodontology Assoc's NPI (1407964901) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.