Active NPIOrganization

Southeast Orthodontics

Dentist, Orthodontics and Dentofacial Orthopedics in Nantucket, Massachusetts

NPI Number1568800803
Practice location
19 1/2 Surfside Road, Nantucket, MA 02554
Fax
—
Last updated
June 10, 2013

Southeast Orthodontics is a healthcare organization based in Nantucket, MA. Southeast Orthodontics practices in Nantucket, MA. The NPI Number for Southeast Orthodontics is 1568800803. The current practice location address for Southeast Orthodontics is 19 1/2 Surfside Road, Nantucket, MA 02554 and can be reached out via phone at 508-228-1085.

Provider Profile Details

NPI Number
1568800803
Provider Name
Southeast Orthodontics
Provider Entity Type
Organization
Address
19 1/2 Surfside Road, Nantucket, MA 02554
Phone Number
508-228-1085
Organization Subpart
No
Authorized Official
Brian Gaudreault · Owner · 508-587-8623
Provider Enumeration Date
June 10, 2013
Last Update Date
June 10, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 1/2 Surfside Road
Nantucket, MA 02554
Zip
02554
Phone Number
508-228-1085
Nantucket, MA 02554Get directions →

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

Taxonomy
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Orthodontics?

The NPI number of Southeast Orthodontics is 1568800803. It was assigned on June 10, 2013 and is currently active in the NPPES registry.

What is the specialty of Southeast Orthodontics?

Southeast Orthodontics is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X).

Where does Southeast Orthodontics practice?

The practice location is 19 1/2 Surfside Road, Nantucket, MA 02554. The office can be reached at 508-228-1085 (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 1568800803 directly on the NPPES registry website.

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