| Southeast Pediatric Dentistry And Orthodontics Pc | |
|
408 State Rd Ste 730 Dartmouth MA 02747-4302 | |
| (508) 990-3000 | |
| Not Available |
| Full Name | Southeast Pediatric Dentistry And Orthodontics Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 408 State Rd Ste 730, Dartmouth, Massachusetts |
| Authorized Official Name and Position | Brian Richard Gaudreault (OWNER) |
| Authorized Official Contact | 5083457075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Pediatric Dentistry And Orthodontics Pc 841 Belmont St Brockton MA 02301-5545 Ph: (508) 587-8623 | Southeast Pediatric Dentistry And Orthodontics Pc 408 State Rd Ste 730 Dartmouth MA 02747-4302 Ph: (508) 990-3000 |
| NPI Number | 1578984662 |
|---|---|
| Provider Enumeration Date | 12/17/2013 |
| Last Update Date | 12/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578984662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 1855240 (Massachusetts) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 19702 (Massachusetts) | Primary |
Commonwealth Pediatric Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 State Rd, Suite 730, Dartmouth, MA 02747 Phone: 508-884-4000 Fax: 508-884-4003 | |
41 State Rd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 State Rd, Dartmouth, MA 02747 Phone: 508-993-9105 Fax: 508-993-9115 | |
Jauna Souza-quatrano Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1403 Tucker Rd, Dartmouth, MA 02747 Phone: 508-990-1499 | |
Gm Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 State Rd, Dartmouth, MA 02747 Phone: 774-770-6400 | |
Mills And Ghenta, Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 Hawthorn St Ste 2, Dartmouth, MA 02747 Phone: 508-997-6617 | |
Joseph Mills Dmd & Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 Hawthorn St, Dartmouth, MA 02747 Phone: 508-997-6617 Fax: 508-999-7147 | |
Hawthorn Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Hawthorn St, Dartmouth, MA 02747 Phone: 508-994-5443 |