Organization
CONCORD CENTER DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MADDEN DMD (DENTIST / OWNER)
(978) 369-5700
Entity
Organization
Contact information
Practice address
136 SUDBURY RD, CONCORD, MA 01742-2422
(978) 369-5700
Mailing address
136 SUDBURY RD, CONCORD, MA 01742-2422
(978) 369-5700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1857208
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689841884
NPI PROVIDER NUMBER
MA
Enumeration date
07/07/2016
Last updated
07/26/2016
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