Brian Gaudreault in Brockton - Orthodontics And Dentofacial Orthopedics
Brian Gaudreault - NPI 1518910348
Brian Gaudreault is a Orthodontics And Dentofacial Orthopedics in Brockton, Massachusetts. Brian Gaudreault practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Brian Gaudreault is 1518910348. The last update date is 2007-07-08.
Brian Gaudreault's current location address is 841 Belmont St, Brockton, Massachusetts. You can contact this provider via phone number 5085878623. The mailing address for Brian Gaudreault is 841 Belmont St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Gaudreault |
|---|---|
| Address | 841 Belmont St, Brockton, Massachusetts |
| Phone Number | 5085878623 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1518910348 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 841 Belmont St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23015545 |
| Phone Number | 5085878623 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 19702 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identifier code issued to Brian Gaudreault by the Centers for Medicare & Medicaid Services?
The Brian Gaudreault has been assigned the NPI (National Provider Identifier) 1518910348. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brian Gaudreault?
The Brian Gaudreault is situated at 841 Belmont St, in the city of Brockton, state of MA, with the zip code 23015545.
What is Brian Gaudreault's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian Gaudreault's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Brian Gaudreault receive the assignment of its 1518910348 from the Centers for Medicare & Medicaid Services?
The Brian Gaudreault was issued its 1518910348 by the Centers for Medicare & Medicaid Services on 2006-05-19.
As of what date were the details pertaining to Brian Gaudreault last refreshed?
The information related to the Brian Gaudreault, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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