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.

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)

Practice location

290 Baker Ave

S103

Concord, MA 01742

Phone: (978) 369-5521

Fax: (978) 369-5591

Street-level locationGet directions

More MA providers

Mailing address

290 Baker Ave

Concord, MA 01742

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense 13998 (MA)
Dental Providers
Periodontics1223P0300XLicense 19000 (MA)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions