OrganizationActive
Cambridge Periodontics
NPI 1700896164 · Periodontics · Cambridge, MA
Provider details
- NPI number
- 1700896164
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Mark Derkazarian, Partner(617) 864-5444
Specialties & taxonomies
Dental Providers
Practice location
1692 Massachusetts Avenue
Cambridge, MA 02138
Phone: (617) 864-5444
Fax: (617) 547-0109
Approximate (ZIP-level) locationGet directions
Mailing address
1692 Massachusetts Avenue
Cambridge, MA 02138
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2012-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.