MARK Y WANG (NPI# 1639281892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639281892 |
| Entity Type | Organization |
| Organization Name | MARK Y WANG |
| Other Organization Name | CONCORD DENTAL ASSOCIATES |
| Practice Address |
290 Baker Ave Suite S104 Concord MA 01742 |
| Practice Telephone | 9783696611 |
| Practice Fax Number | 9783713041 |
| Mailing Telephone | 9783696611 |
| Mailing Fax Number | 9783713041 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | DR. MARK Y WANG (PRESIDENT) |
| Authorized Official Telephone | 9783696611 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
18710 | MA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Concord Dental Associates | Doing Business As Name - Organization |
| Street Address |
290 BAKER AVE SUITE S104 |
| City | CONCORD |
| State | MA |
| Zip Code | 01742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184619223 | Michael M Pugliese | Dermatology | 290 Baker Ave, Suite 220n, Concord, MA 01742-2189 | 2005-09-14 |
| 1407356769 | Vivien M Fiset | Physical Therapist | 290 Baker Ave, Concord, MA 01742-2189 | 2018-02-13 |
| 1497201354 | Charming Smile Orthodontics, LLC | Dentist | 290 Baker Ave, Suite S-200, Concord, MA 01742-2189 | 2016-08-31 |
| 1154875102 | Melissa Bloch | Physical Therapist | 290 Baker Ave, Concord, MA 01742-2189 | 2016-08-08 |
| 1952700825 | Sara Elizabeth Heldman | Physical Therapist | 290 Baker Ave, Suite N111, Concord, MA 01742-2189 | 2014-08-17 |
| 1447680657 | Melissa Delrossi | Physical Therapist | 290 Baker Ave, Suite N111, Concord, MA 01742-2189 | 2013-11-25 |
| 1669729299 | Michelle Yuching Chou | Dentist | 290 Baker Ave, Suite S-200, Concord, MA 01742 | 2012-08-14 |
| 1265706071 | Jason Pemberton | Physical Therapist | 290 Baker Ave, Suite N 111, Concord, MA 01742-2189 | 2012-02-27 |
| 1063732477 | Concorddental Implants &periodontics | Dentist | 290 Baker Ave, S205, Concord, MA 01742-2189 | 2010-06-08 |
| 1205165586 | Inna Amirian | Dentist | 290 Baker Ave, Concord, MA 01742-2189 | 2009-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790808525 | Richard Louis Bellagamba | Dentist | 2939 Salvio St, Concord, CA 94519-2534 | 2007-04-08 |
| 1215959234 | Nicholas Peter Kondon | Dentist | 290 Baker Avenue, Suite S203, Concord, MA 01742 | 2006-07-25 |
| 1295183150 | Mark Y. Wang | Dentist | 290 Baker Avenue, Suite S-104, Concord, MA 01742 | 2016-06-01 |
| 1003158726 | Nicholas P. Kondon Dmd, PC | Dentist | 290 Baker Ave., Suite S-203, Concord, MA 01742-2189 | 2013-03-20 |
| 1205165586 | Inna Amirian | Dentist | 290 Baker Ave, Concord, MA 01742-2189 | 2009-12-15 |
| 1962665976 | Jason Joshua Peacock | Dentist | 6 Loudon Rd, #202, Concord, NH 03301-5345 | 2008-07-09 |
| 1457436800 | Jon W. Samaha | Dentist | 13 Wall St, Concord, NH 03301-3742 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851035 | North Andover Dental Partners Pllc | Dentist | 451 Andover St Ste 208, North Andover, MA 01845-5070 | 2020-11-02 |
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1104380526 | Sfrnsh LLC | Dentist | 209 Harvard St Ste 302, Brookline, MA 02446-5005 | 2019-01-30 |
| 1619446713 | Lexington Implant and Restorative Dentistry | Dentist | 803 Massachusetts Ave, Lexington, MA 02420-3918 | 2018-11-19 |
| 1154818359 | Lexington Smile Studio, PC | Dentist | 922 Waltham St Ste 202, Lexington, MA 02421-8019 | 2018-04-13 |
| 1184140139 | Georgetown Dental, P.C. | Dentist | 25 E Main St Ste 3, Georgetown, MA 01833-2007 | 2017-08-21 |
| 1922522747 | Prosthodontic Associates PC | Dentist | 50 Salem St., 3rd Floor, Lynnfield, MA 01940 | 2017-08-02 |
| 1952852063 | Thaisa Barizan Bordin | Dentist | 100 Morton St Apt 50, Boston, MA 02130-3754 | 2016-10-24 |
| 1326419524 | Brookline Dental Associates LLC | Dentist | 209 Harvard St Ste 502, Brookline, MA 02446-5005 | 2015-10-14 |
| 1316318686 | Outer Cape Dental Group, LLC | Dentist | 10 Cannon Hill Rd, South Wellfleet, MA 02663 | 2015-10-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.