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

Periodontology Assoc

Organization Periodontics · NPI 1407964901

Periodontology Assoc is a Periodontics in Concord, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

290 Baker Ave S103
Concord, MA 01742
Phone: (978) 369-5521
Fax: (978) 369-5591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 13998 (MA)
Periodontics Taxonomy 1223P0300X · Licence 19000 (MA)

Record details

NPI number1407964901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Freedman — Owner · (978) 369-5521
NPI enumeratedAugust 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address290 Baker Ave, S103, Concord, MA 01742

Other providers in Concord