Healthcare Provider Details

I. General information

NPI: 1215873898
Provider Name (Legal Business Name): CAMBRIDGE DENTAL PARTNERS,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 MASSACHUSETTS AVE STE 61-63
CAMBRIDGE MA
02139-3067
US

IV. Provider business mailing address

875 MASSACHUSETTS AVE STE 61-63
CAMBRIDGE MA
02139-3067
US

V. Phone/Fax

Practice location:
  • Phone: 617-868-5500
  • Fax:
Mailing address:
  • Phone: 617-868-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: PRIYANK TANEJA
Title or Position: OWNER
Credential: DMD, MMSC
Phone: 617-304-0060