Brockton Oral & Maxillofacial Surgery INC
Dentist in Brockton, Massachusetts
1457370504- Practice location
- 1351 Main St, Brockton, MA 02301
- Phone
- 508-587-2000
- Fax
- 508-580-3552
- Last updated
- August 22, 2020
Brockton Oral & Maxillofacial Surgery INC is a healthcare organization based in Brockton, MA. Brockton Oral & Maxillofacial Surgery INC practices in Brockton, MA. The NPI Number for Brockton Oral & Maxillofacial Surgery INC is 1457370504 and holds a License No. 16545 (MA). The current practice location address for Brockton Oral & Maxillofacial Surgery INC is 1351 Main St, Brockton, MA 02301 and can be reached out via phone at 508-587-2000 and via fax at 508-580-3552.
Provider Profile Details
- NPI Number
- 1457370504
- Provider Name
- Brockton Oral & Maxillofacial Surgery INC
- Provider Entity Type
- Organization
- Address
- 1351 Main St, Brockton, MA 02301
- Phone Number
- 508-587-2000
- Fax Number
- 508-580-3552
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Paul M Fitzgerald, DMD · President · 508-587-2000
- Provider Enumeration Date
- July 19, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1351 Main St
Brockton, MA 02301 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301
- Phone Number
- 508-587-2000
- Fax Number
- 508-580-3552
Provider Business Mailing Address Details
- Address
- 1351 Main St
Brockton, MA 02301 - City
- Brockton
- State
- MA
- Zip
- 02301
- Phone Number
- 508-587-2000
- Fax Number
- 508-580-3552
License Information
- License Number
- 16545
- 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 Oral & Maxillofacial Surgery INC?
The NPI number of Brockton Oral & Maxillofacial Surgery INC is 1457370504. It was assigned on July 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Brockton Oral & Maxillofacial Surgery INC?
Brockton Oral & Maxillofacial Surgery INC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 16545.
Where does Brockton Oral & Maxillofacial Surgery INC practice?
The practice location is 1351 Main St, Brockton, MA 02301. The office can be reached at 508-587-2000 (phone) or 508-580-3552 (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 1457370504 directly on the NPPES registry website.