Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cambridge Periodontics LLC

Organization Periodontics · NPI 1790330298

Cambridge Periodontics LLC is a Periodontics in Cambridge, Massachusetts. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1692 Massachusetts Ave Ste 3
Cambridge, MA 02138
Phone: (617) 864-5444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1790330298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Derkazarian — Periodontist · (617) 864-5444
NPI enumeratedAugust 2, 2019
Last updated in NPPESAugust 2, 2019
Mailing address1692 Massachusetts Ave Ste 3, Cambridge, MA 02138

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