Brockton Family Dental INC.
Dentist in Brockton, Massachusetts
1235212226- Practice location
- 4 Main St, Brockton, MA 02301-4027
- Phone
- 508-587-7775
- Fax
- 508-587-7799
- Last updated
- March 5, 2012
Brockton Family Dental INC. is a healthcare organization based in Brockton, MA. Brockton Family Dental INC. practices in Brockton, MA. The NPI Number for Brockton Family Dental INC. is 1235212226 and holds a License No. 20758 (MA). The current practice location address for Brockton Family Dental INC. is 4 Main St, Brockton, MA 02301-4027 and can be reached out via phone at 508-587-7775 and via fax at 508-587-7799.
Provider Profile Details
- NPI Number
- 1235212226
- Provider Name
- Brockton Family Dental INC.
- Provider Entity Type
- Organization
- Address
- 4 Main St, Brockton, MA 02301-4027
- Phone Number
- 508-587-7775
- Fax Number
- 508-587-7799
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Sang Bae, MD · Owner · 508-587-7775
- Provider Enumeration Date
- October 23, 2006
- Last Update Date
- March 5, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4 Main St
Brockton, MA 02301-4027 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-4027
- Phone Number
- 508-587-7775
- Fax Number
- 508-587-7799
Provider Business Mailing Address Details
- Address
- 4 Main St
Brockton, MA 02301-4027 - City
- Brockton
- State
- MA
- Zip
- 02301-4027
- Phone Number
- 508-587-7775
- Fax Number
- 508-587-7799
License Information
- License Number
- 20758
- 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 Brockton Family Dental INC.?
The NPI number of Brockton Family Dental INC. is 1235212226. It was assigned on October 23, 2006 and is currently active in the NPPES registry.
What is the specialty of Brockton Family Dental INC.?
Brockton Family Dental INC. is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 20758.
Where does Brockton Family Dental INC. practice?
The practice location is 4 Main St, Brockton, MA 02301-4027. The office can be reached at 508-587-7775 (phone) or 508-587-7799 (fax).
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 1235212226 directly on the NPPES registry website.