| Community Dentistry, P.c | |
|
704 N Main St Brockton MA 02301-2444 | |
| (508) 583-5210 | |
| Not Available |
| Full Name | Community Dentistry, P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 704 N Main St, Brockton, Massachusetts |
| Authorized Official Name and Position | Robert R. Perry (PRESIDENT) |
| Authorized Official Contact | 5085835210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dentistry, P.c Po Box 7370 704 N. Main Street Brockton MA 02303-7370 Ph: () - | Community Dentistry, P.c 704 N Main St Brockton MA 02301-2444 Ph: (508) 583-5210 |
| NPI Number | 1144352931 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144352931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19737 (Massachusetts) | Primary |
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