Southeast Orthodontics, INC.
Clinic/Center, Dental in Brockton, Massachusetts
1114095361- Practice location
- 841 Belmont St, Brockton, MA 02301-5545
- Phone
- 508-587-8623
- Fax
- —
- Last updated
- October 3, 2016
Southeast Orthodontics, INC. is a healthcare organization based in Brockton, MA. Southeast Orthodontics, INC. practices in Brockton, MA. The NPI Number for Southeast Orthodontics, INC. is 1114095361 and holds a License No. 19702 (MA). The current practice location address for Southeast Orthodontics, INC. is 841 Belmont St, Brockton, MA 02301-5545 and can be reached out via phone at 508-587-8623.
Provider Profile Details
- NPI Number
- 1114095361
- Provider Name
- Southeast Orthodontics, INC.
- Provider Entity Type
- Organization
- Address
- 841 Belmont St, Brockton, MA 02301-5545
- Phone Number
- 508-587-8623
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Brian Richard Gaudreault, DMD · President · 508-587-8623
- Provider Enumeration Date
- December 4, 2006
- Last Update Date
- October 3, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 841 Belmont St
Brockton, MA 02301-5545 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-5545
- Phone Number
- 508-587-8623
Provider Business Mailing Address Details
- Address
- 841 Belmont Street
Brockton, MA 02030 - City
- Brockton
- State
- MA
- Zip
- 02030
- Phone Number
- 508-587-8623
License Information
- License Number
- 19702
- License State
- MA
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Dental providers near Brockton, MA
View all Clinic/Center, Dental providers in Brockton →Frequently Asked Questions
What is the NPI number of Southeast Orthodontics, INC.?
The NPI number of Southeast Orthodontics, INC. is 1114095361. It was assigned on December 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Southeast Orthodontics, INC.?
Southeast Orthodontics, INC. is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number 19702.
Where does Southeast Orthodontics, INC. practice?
The practice location is 841 Belmont St, Brockton, MA 02301-5545. The office can be reached at 508-587-8623 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114095361 directly on the NPPES registry website.