institution
Southeastern Oral & Maxillofacial Surgeons Pc
Oral and Maxillofacial Surgery (Dentist) in Brockton, Massachusetts
NPI 1225115470

Southeastern Oral & Maxillofacial Surgeons Pc is a Oral and Maxillofacial Surgery (Dentist) based in Brockton, MA and is specialized in Oral and Maxillofacial Surgery. Southeastern Oral & Maxillofacial Surgeons Pc practices in Brockton, MA. The NPI Number for Southeastern Oral & Maxillofacial Surgeons Pc is 1225115470 and holds a License No. 18127 (Massachusetts).

The current practice location address for Southeastern Oral & Maxillofacial Surgeons Pc is 951 North Main Street, Brockton, MA and can be reached out via phone at 508-588-0200 and via fax at 508-583-6156. You can also correspond with Southeastern Oral & Maxillofacial Surgeons Pc through the mailing address at 951 NORTH MAIN STREET, BROCKTON, MA - 02301 (mailing address contact number: 508-588-0200).

Location: 951 North Main Street, Brockton, MA, 02301
institution
Provider Profile Details
NPI Number
1225115470
Provider Name
Southeastern Oral & Maxillofacial Surgeons Pc
Credential
Provider Entity Type
Organization
Address
951 North Main Street, Brockton, MA, 02301
Phone Number
508-588-0200
Fax Number
508-583-6156
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X20040 05 MA
institution
Provider Business Practice Location Address Details
Address
951 North Main Street
City
State
Zip
02301
Phone Number
508-588-0200
Fax Number
508-583-6156
person
Provider Business Mailing Address Details
Address
951 North Main Street
City
State
Zip
02301
Phone Number
508-588-0200
Fax Number
508-583-6156
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
18127 (Massachusetts)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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