Active NPIIndividual provider

Dr. Michael G Broutsas, DDS

Dentist, Oral and Maxillofacial Surgery in Taunton, Massachusetts

NPI Number1982612362
Practice location
54 Winthrop St, Taunton, MA 02780
Fax
508-823-0757
Last updated
July 8, 2007

Michael George Broutsas is a Dentist, Oral and Maxillofacial Surgery based in Taunton, MA. Michael George Broutsas practices in Taunton, MA and has the professional credentials of DDS. The NPI Number for Michael George Broutsas is 1982612362 and holds a License No. 12159 (MA). The current practice location address for Michael George Broutsas is 54 Winthrop St, Taunton, MA 02780 and can be reached out via phone at 508-824-7023 and via fax at 508-823-0757.

Provider Profile Details

NPI Number
1982612362
Provider Name
Michael George Broutsas
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
54 Winthrop St, Taunton, MA 02780
Phone Number
508-824-7023
Fax Number
508-823-0757
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Winthrop St
Taunton, MA 02780
Zip
02780
Phone Number
508-824-7023
Fax Number
508-823-0757
Taunton, MA 02780Get directions →

Provider Business Mailing Address Details

Address
54 Winthrop St
Taunton, MA 02780
City
Taunton
State
MA
Zip
02780
Phone Number
508-824-7023
Fax Number
508-823-0757

License Information

License Number
12159
License State
MA
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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 Dr. Michael G Broutsas, DDS?

The NPI number of Dr. Michael G Broutsas, DDS is 1982612362. It was assigned on August 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael G Broutsas, DDS?

Dr. Michael G Broutsas, DDS is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in MA under license number 12159.

Where does Dr. Michael G Broutsas, DDS practice?

The practice location is 54 Winthrop St, Taunton, MA 02780. The office can be reached at 508-824-7023 (phone) or 508-823-0757 (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 1982612362 directly on the NPPES registry website.

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