Joan Petros in Brockton - Orthodontics And Dentofacial Orthopedics
Joan Petros - NPI 1679613418
Joan Petros is a Orthodontics And Dentofacial Orthopedics in Brockton, Massachusetts. Joan Petros practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Joan Petros is 1679613418. The last update date is 2007-07-08.
Joan Petros's current location address is 336 Pleasant Street, Brockton, Massachusetts. You can contact this provider via phone number 5085883020 and fax number 5085883020. The mailing address for Joan Petros is 336 Pleasant Street, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joan Petros |
|---|---|
| Address | 336 Pleasant Street, Brockton, Massachusetts |
| Phone Number | 5085883020 |
| Fax Number | 5085883020 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1679613418 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 336 Pleasant Street |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23013236 |
| Phone Number | 5085883020 |
| Fax Number | 5085883020 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 15170 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Joan Petros by the Centers for Medicare & Medicaid Services?
The Joan Petros has been issued the NPI (National Provider Identifier) 1679613418 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Joan Petros's physical address?
The Joan Petros is physically located at 336 Pleasant Street, in the city of Brockton, MA, with the postal code 23013236.
What is Joan Petros's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joan Petros'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 Joan Petros receive the assignment of its 1679613418 from the Centers for Medicare & Medicaid Services?
The Joan Petros was issued its 1679613418 by the Centers for Medicare & Medicaid Services on 2007-02-08.
When was the Joan Petros's information last updated?
The Joan Petros's information was last updated on 2007-07-08.