Mark L Connolly, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13550 Issued in MA

Practice address

411 High St
Medford, MA 02155-3610

Phone

(781) 396-7707

Fax

(781) 395-5035

NPI assigned

Dec 9, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Raffi Bagdassarian DMD, PC

  • Dental Clinic/Center
  • Medford, MA
  • NPI 1932504552
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053396259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553610",
            "telephone_number": "781-396-7707",
            "fax_number": "781-395-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553610",
            "telephone_number": "781-396-7707",
            "fax_number": "781-395-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Coleman, MD
• Laurie A Coleman, LMT
• Braden M Collins, DPT
• Mary Colpoys, M.D.
• Sydney Helene Condron, M.S., CCC-SLP
• Jordana Pamela Connor, LICSW
• Jacqueline M Conti, RN
• Laurence A Conway, MD
• Alesandra Cook
• Erin Cook, LMHC

• General Practice Dentistry in Medford, MA
• Providers in Medford, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.