Southeast Pediatric Dentistry And Orthodontics, PC
Dentist, Orthodontics and Dentofacial Orthopedics in Seekonk, Massachusetts
1457772246- Practice location
- 23 Commerce Way, Seekonk, MA 02771-5816
- Phone
- 508-336-4994
- Fax
- —
- Last updated
- December 20, 2013
Southeast Pediatric Dentistry And Orthodontics, PC is a healthcare organization based in Seekonk, MA. Southeast Pediatric Dentistry And Orthodontics, PC practices in Seekonk, MA. The NPI Number for Southeast Pediatric Dentistry And Orthodontics, PC is 1457772246 and holds a License No. 1855240 (MA). The current practice location address for Southeast Pediatric Dentistry And Orthodontics, PC is 23 Commerce Way, Seekonk, MA 02771-5816 and can be reached out via phone at 508-336-4994.
Provider Profile Details
- NPI Number
- 1457772246
- Provider Name
- Southeast Pediatric Dentistry And Orthodontics, PC
- Provider Entity Type
- Organization
- Address
- 23 Commerce Way, Seekonk, MA 02771-5816
- Phone Number
- 508-336-4994
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Organization Subpart
- No
- Authorized Official
- Dr. Brian Richard Gaudreault, DMD · Owner · 508-345-7075
- Provider Enumeration Date
- December 20, 2013
- Last Update Date
- December 20, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23 Commerce Way
Seekonk, MA 02771-5816 - City
- Seekonk
- State
- Massachusetts
- Zip
- 02771-5816
- Phone Number
- 508-336-4994
Provider Business Mailing Address Details
- Address
- 841 Belmont St
Brockton, MA 02301-5545 - City
- Brockton
- State
- MA
- Zip
- 02301-5545
- Phone Number
- 508-587-8623
License Information
- License Number (1)
- 1855240
- License State (1)
- MA
- Taxonomy (1)
- Dentist, Pediatric Dentistry · 1223P0221X
- License Number (2)
- 19702
- License State (2)
- MA
- Taxonomy (2)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Southeast Pediatric Dentistry And Orthodontics, PC?
The NPI number of Southeast Pediatric Dentistry And Orthodontics, PC is 1457772246. It was assigned on December 20, 2013 and is currently active in the NPPES registry.
What is the specialty of Southeast Pediatric Dentistry And Orthodontics, PC?
Southeast Pediatric Dentistry And Orthodontics, PC is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in MA under license number 1855240.
Where does Southeast Pediatric Dentistry And Orthodontics, PC practice?
The practice location is 23 Commerce Way, Seekonk, MA 02771-5816. The office can be reached at 508-336-4994 (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 1457772246 directly on the NPPES registry website.