Dr Thanh-trang Trang Nguyen, DMD | |
63 Main St, Brockton, MA 02301-4042 | |
(508) 559-6699 | |
(508) 559-5073 |
Full Name | Dr Thanh-trang Trang Nguyen |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 63 Main St, Brockton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023188364 | NPI | - | NPPES |
0203114 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 21038 (Massachusetts) | Primary |
Entity Name | Dothouse Health Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578514733 PECOS PAC ID: 8729991021 Enrollment ID: O20031112000264 |
Entity Name | Brockton Neighborhood Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225085319 PECOS PAC ID: 3870491699 Enrollment ID: O20031230000558 |
Mailing Address | Practice Location Address |
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Dr Thanh-trang Trang Nguyen, DMD 63 Main St, Brockton, MA 02301-4042 Ph: (508) 559-6699 | Dr Thanh-trang Trang Nguyen, DMD 63 Main St, Brockton, MA 02301-4042 Ph: (508) 559-6699 |
Sheina Jean-marie, DMD Dentist Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073 | |
Julius N Coles, Dentist Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-584-2708 Fax: 508-559-1158 | |
Mackenzie Park, Dentist Medicare: Not Enrolled in Medicare Practice Location: 698 Crescent St, Brockton, MA 02302 Phone: 508-583-2256 | |
Dr. Divya Arora, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 772 Belmont St, Brockton, MA 02301 Phone: 508-580-8888 Fax: 508-580-8886 | |
Dr. Patricia Audate, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-894-3681 Fax: 508-599-1158 | |
Dr. Gabriella Babu, DMD Dentist Medicare: Medicare Enrolled Practice Location: 839 Pleasant St, Brockton, MA 02301 Phone: 508-583-3530 Fax: 508-583-7642 |