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Fresh Pond Dental LLC

Q: What type of organization is Fresh Pond Dental LLC?

Fresh Pond Dental LLC is registered in NPPES as a Dental Clinic/Center (its primary provider taxonomy).

Dental Clinic/Center in Cambridge, MA · enumerated 2011 · authorized official Andrey Mazo, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134496904

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Registry record

Entity type Organization (Type 2)

Legal business name Fresh Pond Dental LLC

Practice address 180 Alewife Brook Pkwy, Cambridge, MA, 02138

Phone (617) 547-0700

Enumeration date Nov 22, 2011

Last updated in NPPES Nov 22, 2011

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License 18643 (MA) Primary

Authorized official

Name Andrey Mazo

Title Owner

Phone (617) 285-6414

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Fresh Pond Dental LLC?

Fresh Pond Dental LLC is registered in NPPES as a Dental Clinic/Center (its primary provider taxonomy).

Providers at this address

Browse all →

42 North Dental Care, LLC Dental Clinic/Center · Cambridge, MA NPI 1033765953 Darius Tenorio Dentist · Cambridge, MA NPI 1023790425

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-22.