OrganizationActive
Medford Endodontics, LLC
NPI 1780974477 · Endodontics · Medford, MA
Provider details
- NPI number
- 1780974477
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Mark Wang, President(781) 391-5100
- License
- 20514 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Zero Governors Avenue, Suite 30
Medford, MA 02155-3006
Phone: (781) 391-5100
Fax: (781) 391-4833
Approximate (ZIP-level) locationGet directions
Mailing address
Zero Governors Avenue., Suite 30
Medford, MA 02155-0000
Registry dates
- Enumerated
- 2011-04-14
- Last updated
- 2011-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.