Southeastern Oral & Maxillofacial Surgeons Pc - Brockton, MA

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.

Location: 951 North Main Street, Brockton, MA, 02301

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

Identifier	Type	State	Issuer
X20040	05	MA

Address

951 North Main Street

City

Brockton

State

Massachusetts

Zip

02301

Phone Number

508-588-0200

Fax Number

508-583-6156

Address

951 North Main Street

City

Brockton

State

Massachusetts

Zip

02301

Phone Number

508-588-0200

Fax Number

508-583-6156

Type

Dental Providers

Classification

Dentist

Speciality

Oral and Maxillofacial Surgery

Taxonomy

1223S0112X

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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