Active NPIOrganization

Brockton Dental Group P.c.

Dentist, General Practice in Brockton, Massachusetts

NPI Number1760610026
Practice location
231 Main St, Suite #200, Brockton, MA 02301
Fax
508-583-8339
Last updated
January 16, 2015

Brockton Dental Group P.c. is a healthcare organization based in Brockton, MA. Brockton Dental Group P.c. practices in Brockton, MA. The NPI Number for Brockton Dental Group P.c. is 1760610026. The current practice location address for Brockton Dental Group P.c. is 231 Main St, Suite #200, Brockton, MA 02301 and can be reached out via phone at 508-588-8338 and via fax at 508-583-8339.

Provider Profile Details

NPI Number
1760610026
Provider Name
Brockton Dental Group P.c.
Provider Entity Type
Organization
Address
231 Main St, Suite #200, Brockton, MA 02301
Phone Number
508-588-8338
Fax Number
508-583-8339
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Mr. Ghazwan F. Ghazi, DMD · President · 617-462-3780
Other Names
Brockton Family Dentists (Former Legal Business Name)
Provider Enumeration Date
June 25, 2009
Last Update Date
January 16, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
231 Main St
Suite #200
Brockton, MA 02301
Zip
02301
Phone Number
508-588-8338
Fax Number
508-583-8339
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
231 Main St.
Suite #200
Brockton, MA 02301
City
Brockton
State
MA
Zip
02301
Phone Number
508-588-8338
Fax Number
508-583-8399

License Information

Taxonomy
Dentist, General Practice · 1223G0001X · 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 Brockton Dental Group P.c.?

The NPI number of Brockton Dental Group P.c. is 1760610026. It was assigned on June 25, 2009 and is currently active in the NPPES registry.

What is the specialty of Brockton Dental Group P.c.?

Brockton Dental Group P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Brockton Dental Group P.c. practice?

The practice location is 231 Main St, Suite #200, Brockton, MA 02301. The office can be reached at 508-588-8338 (phone) or 508-583-8339 (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 1760610026 directly on the NPPES registry website.

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