Concord-Acton Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CONCORD-ACTON DENTAL

Practice address

411 Massachusetts Ave Ste 201
Acton, MA 01720-3739

Phone

(978) 263-9377

NPI assigned

Jun 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mark Y Wang

Title

President

Phone

(978) 263-9377

Specialties & licenses 1

Addresses

Other names 1

• Concord-Acton Dental Former legal business name

Locations

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1861986119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MASSACHUSETTS AVE STE 201",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-263-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MASSACHUSETTS AVE STE 201",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-263-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD-ACTON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-263-9377",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord-Acton Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mark William Cohen, M.D.
• Natalie L. Cohen, MD
• Linda M Collins, LMHC
• Commonwealth of Massachusetts
• Concord Woods Dental Group LLC
• Jordyn Condon
• Megan Conley
• Continuum Counseling LLC
• Jillian Cooley
• Christopher Paul Cooper, M.D.

• Dental Clinic/Center in Acton, MA
• Providers in Acton, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.