Southbridge Braces PC
Dentist, Orthodontics and Dentofacial Orthopedics in Southbridge, Massachusetts
1699214593- Practice location
- 39 Elm St, Suite 301, Southbridge, MA 01550-2644
- Phone
- 508-909-6719
- Fax
- —
- Last updated
- May 17, 2021
Southbridge Braces PC is a healthcare organization based in Southbridge, MA. Southbridge Braces PC practices in Southbridge, MA. The NPI Number for Southbridge Braces PC is 1699214593 and holds a License No. DN20511 (MA). The current practice location address for Southbridge Braces PC is 39 Elm St, Suite 301, Southbridge, MA 01550-2644 and can be reached out via phone at 508-909-6719.
Provider Profile Details
- NPI Number
- 1699214593
- Provider Name
- Southbridge Braces PC
- Provider Entity Type
- Organization
- Address
- 39 Elm St, Suite 301, Southbridge, MA 01550-2644
- Phone Number
- 508-909-6719
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Organization Subpart
- No
- Authorized Official
- Dr. Houssam Alkhoury, DMD · President · 508-505-5040
- Other Names
- Super Braces (Doing Business As)
- Provider Enumeration Date
- February 13, 2017
- Last Update Date
- May 17, 2021
- Certification Date
- May 17, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 39 Elm St
Suite 301
Southbridge, MA 01550-2644 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-2644
- Phone Number
- 508-909-6719
Provider Business Mailing Address Details
- Address
- 87 Elm St
Third Floor
Hopkinton, MA 01748-1638 - City
- Hopkinton
- State
- MA
- Zip
- 01748-1638
- Phone Number
- 508-589-8270
- Fax Number
- 508-319-3339
License Information
- License Number
- DN20511
- License State
- MA
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Southbridge Braces PC?
The NPI number of Southbridge Braces PC is 1699214593. It was assigned on February 13, 2017 and is currently active in the NPPES registry.
What is the specialty of Southbridge Braces PC?
Southbridge Braces PC is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in MA under license number DN20511.
Where does Southbridge Braces PC practice?
The practice location is 39 Elm St, Suite 301, Southbridge, MA 01550-2644. The office can be reached at 508-909-6719 (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 1699214593 directly on the NPPES registry website.