Creative Smiles Dental Care, PLLC
Dentist in Brockton, Massachusetts
1225441819- Practice location
- 907 Main St, Brockton, MA 02301-6629
- Phone
- 630-456-6334
- Fax
- —
- Last updated
- June 11, 2014
Creative Smiles Dental Care, PLLC is a healthcare organization based in Brockton, MA. Creative Smiles Dental Care, PLLC practices in Brockton, MA. The NPI Number for Creative Smiles Dental Care, PLLC is 1225441819 and holds a License No. DN1856486 (MA). The current practice location address for Creative Smiles Dental Care, PLLC is 907 Main St, Brockton, MA 02301-6629 and can be reached out via phone at 630-456-6334.
Provider Profile Details
- NPI Number
- 1225441819
- Provider Name
- Creative Smiles Dental Care, PLLC
- Provider Entity Type
- Organization
- Address
- 907 Main St, Brockton, MA 02301-6629
- Phone Number
- 630-456-6334
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Mrugank M Sardhara, DDS · Manager · 630-456-6334
- Provider Enumeration Date
- June 11, 2014
- Last Update Date
- June 11, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 907 Main St
Brockton, MA 02301-6629 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-6629
- Phone Number
- 630-456-6334
Provider Business Mailing Address Details
- Address
- 800 Pleasant St Apt 809
New Bedford, MA 02740-6128 - City
- New Bedford
- State
- MA
- Zip
- 02740-6128
- Phone Number
- 630-456-6334
License Information
- License Number
- DN1856486
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Brockton, MA
View all Dentists in Brockton →Frequently Asked Questions
What is the NPI number of Creative Smiles Dental Care, PLLC?
The NPI number of Creative Smiles Dental Care, PLLC is 1225441819. It was assigned on June 11, 2014 and is currently active in the NPPES registry.
What is the specialty of Creative Smiles Dental Care, PLLC?
Creative Smiles Dental Care, PLLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1856486.
Where does Creative Smiles Dental Care, PLLC practice?
The practice location is 907 Main St, Brockton, MA 02301-6629. The office can be reached at 630-456-6334 (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 1225441819 directly on the NPPES registry website.