SE Ortho Mansfield, INC.
Dentist, Orthodontics and Dentofacial Orthopedics in Mansfield, Massachusetts
1487183265- Practice location
- 100 Copeland Dr Ste 9, Mansfield, MA 02048-1245
- Phone
- 508-339-5500
- Fax
- —
- Last updated
- June 6, 2017
SE Ortho Mansfield, INC. is a healthcare organization based in Mansfield, MA. SE Ortho Mansfield, INC. practices in Mansfield, MA. The NPI Number for SE Ortho Mansfield, INC. is 1487183265 and holds a License No. 19702 (MH). The current practice location address for SE Ortho Mansfield, INC. is 100 Copeland Dr Ste 9, Mansfield, MA 02048-1245 and can be reached out via phone at 508-339-5500.
Provider Profile Details
- NPI Number
- 1487183265
- Provider Name
- SE Ortho Mansfield, INC.
- Provider Entity Type
- Organization
- Address
- 100 Copeland Dr Ste 9, Mansfield, MA 02048-1245
- Phone Number
- 508-339-5500
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Organization Subpart
- No
- Authorized Official
- Dr. Brian R Gaudreault, DMD · Owner/President · 508-880-5891
- Other Names
- Southeast Orthodontics (Doing Business As)
- Provider Enumeration Date
- June 6, 2017
- Last Update Date
- June 6, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Copeland Dr Ste 9
Mansfield, MA 02048-1245 - City
- Mansfield
- State
- Massachusetts
- Zip
- 02048-1245
- Phone Number
- 508-339-5500
Provider Business Mailing Address Details
- Address
- 302 Broadway Unit 6
Raynham, MA 02767-1439 - City
- Raynham
- State
- MA
- Zip
- 02767-1439
- Phone Number
- 508-880-5891
License Information
- License Number
- 19702
- License State
- MH
- Taxonomy
- 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. | |||
Other Dentist, Orthodontics and Dentofacial Orthopedics providers near Mansfield, MA
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Frequently Asked Questions
What is the NPI number of SE Ortho Mansfield, INC.?
The NPI number of SE Ortho Mansfield, INC. is 1487183265. It was assigned on June 6, 2017 and is currently active in the NPPES registry.
What is the specialty of SE Ortho Mansfield, INC.?
SE Ortho Mansfield, INC. is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in MH under license number 19702.
Where does SE Ortho Mansfield, INC. practice?
The practice location is 100 Copeland Dr Ste 9, Mansfield, MA 02048-1245. The office can be reached at 508-339-5500 (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 1487183265 directly on the NPPES registry website.