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

Fresh Pond Dental LLC

Organization Dental Clinic/Center · NPI 1134496904

Fresh Pond Dental LLC is a Dental Clinic/Center in Cambridge, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.

Licensed in
MA
In the registry since
2011
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

180 Alewife Brook Pkwy
Cambridge, MA 02138-1102
Phone: (617) 547-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 18643 (MA)

Record details

NPI number1134496904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrey Mazo — Owner · (617) 285-6414
NPI enumeratedNovember 22, 2011
Last updated in NPPESNovember 22, 2011
Mailing address180 Alewife Brook Pkwy, Cambridge, MA 02138-1102

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