Brockton Family Dental Inc. in Brockton - Dentist
Brockton Family Dental Inc. - NPI 1235212226
Brockton Family Dental Inc. is a Dentist in Brockton, Massachusetts. Brockton Family Dental Inc. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brockton Family Dental Inc. is 1235212226. The last update date is 2012-03-05.
Brockton Family Dental Inc.'s current location address is 4 Main St, Brockton, Massachusetts. You can contact this provider via phone number 5085877775 and fax number 5085877799. The mailing address for Brockton Family Dental Inc. is 4 Main St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brockton Family Dental Inc. |
|---|---|
| Address | 4 Main St, Brockton, Massachusetts |
| Phone Number | 5085877775 |
| Fax Number | 5085877799 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bae Sang |
| Credentials | M.D. |
| Telephone Number | 5085877775 |
NPI Number Detail
| NPI Number | 1235212226 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2012-03-05 |
Provider Mailing Address Detail
| Address | 4 Main St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23014027 |
| Phone Number | 5085877775 |
| Fax Number | 5085877799 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 20758 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9734180 | MA | -- |
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What is the unique identifier code issued to Brockton Family Dental Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Brockton Family Dental Inc. has been assigned the NPI (National Provider Identifier) 1235212226. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Brockton Family Dental Inc. located?
The Brockton Family Dental Inc. is located at 4 Main St, Brockton, MA 23014027.
What is the Brockton Family Dental Inc.'s specialty and taxonomy code?
The Brockton Family Dental Inc.'s specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did Brockton Family Dental Inc. receive its 1235212226 assignment from the Centers for Medicare & Medicaid Services?
The Brockton Family Dental Inc. was assigned its 1235212226 on 2006-10-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Brockton Family Dental Inc. last refreshed?
The information related to the Brockton Family Dental Inc., including its address, specialty, and other relevant details, was last updated on 2012-03-05.