Southeast Orthodontics, INC.
Dentist, Orthodontics and Dentofacial Orthopedics in Lakeville, Massachusetts
1790236784- Practice location
- 40 Main St, Lakeville, MA 02347-1607
- Phone
- 508-880-5891
- Fax
- 508-802-9050
- Last updated
- October 14, 2016
Southeast Orthodontics, INC. is a healthcare organization based in Lakeville, MA. Southeast Orthodontics, INC. practices in Lakeville, MA. The NPI Number for Southeast Orthodontics, INC. is 1790236784 and holds a License No. 19702 (MA). The current practice location address for Southeast Orthodontics, INC. is 40 Main St, Lakeville, MA 02347-1607 and can be reached out via phone at 508-880-5891 and via fax at 508-802-9050.
Provider Profile Details
- NPI Number
- 1790236784
- Provider Name
- Southeast Orthodontics, INC.
- Provider Entity Type
- Organization
- Address
- 40 Main St, Lakeville, MA 02347-1607
- Phone Number
- 508-880-5891
- Fax Number
- 508-802-9050
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Organization Subpart
- No
- Authorized Official
- Brian Richard Gaudreault, DMD · President · 508-880-5891
- Provider Enumeration Date
- October 14, 2016
- Last Update Date
- October 14, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Main St
Lakeville, MA 02347-1607 - City
- Lakeville
- State
- Massachusetts
- Zip
- 02347-1607
- Phone Number
- 508-880-5891
- Fax Number
- 508-802-9050
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
- Fax Number
- 508-802-9050
License Information
- License Number
- 19702
- 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. | |||
Other Dentist, Orthodontics and Dentofacial Orthopedics providers near Lakeville, MA
View all Dentist, Orthodontics and Dentofacial Orthopedics providers in Lakeville →- Amy GamacheDoula · NPI 1639076284
- Lise Gervais, OTOccupational Therapist · NPI 1497731186
- Piecing The Puzzle, INC.Behavior Analyst · NPI 1639626864
- Ruth E Ward, EMTEmergency Medical Technician, Basic · NPI 1225932429
- Bansri Patel, PA-CPhysician Assistant · NPI 1538073119
- Danielle ShermanRegistered Nurse, Neonatal Intensive Care · NPI 1235816943
Frequently Asked Questions
What is the NPI number of Southeast Orthodontics, INC.?
The NPI number of Southeast Orthodontics, INC. is 1790236784. It was assigned on October 14, 2016 and is currently active in the NPPES registry.
What is the specialty of Southeast Orthodontics, INC.?
Southeast Orthodontics, INC. is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in MA under license number 19702.
Where does Southeast Orthodontics, INC. practice?
The practice location is 40 Main St, Lakeville, MA 02347-1607. The office can be reached at 508-880-5891 (phone) or 508-802-9050 (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 1790236784 directly on the NPPES registry website.