Phoenix Pc is a General Practice in Brockton, Massachusetts. Phoenix Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Phoenix Pc is 1275720971. The last update date is 2007-09-27.
Phoenix Pc's current location address is 165 Westgate Dr, Brockton, Massachusetts. You can contact this provider via phone number 7813358355. The mailing address for Phoenix Pc is 165 Westgate Dr, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix Pc |
|---|---|
| Address | 165 Westgate Dr, Brockton, Massachusetts |
| Phone Number | 7813358355 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mortelliti Peter |
| Telephone Number | 3154546000 |
NPI Number Detail
| NPI Number | 1275720971 |
|---|---|
| Provider Enumeration Date | 2007-09-27 |
| Last Updated Date | 2007-09-27 |
Provider Mailing Address Detail
| Address | 165 Westgate Dr |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23011821 |
| Phone Number | 7813358355 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13263 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Phoenix Pc by the Centers for Medicare & Medicaid Services?
The Phoenix Pc has been assigned the NPI (National Provider Identifier) 1275720971 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Phoenix Pc?
The Phoenix Pc is situated at 165 Westgate Dr, in the city of Brockton, state of MA, with the zip code 23011821.
What is Phoenix Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Phoenix Pc's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275720971 to Phoenix Pc?
The Centers for Medicare & Medicaid Services assigned the 1275720971 to Phoenix Pc on 2007-09-27.
As of what date were the details pertaining to Phoenix Pc last refreshed?
The information related to the Phoenix Pc, including its address, specialty, and other relevant details, was last updated on 2007-09-27.