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FULL SERVICE DENTAL HEALTH P.C. NPI 1568512655


NPI Information

NPI: 1568512655
Provider Name: FULL SERVICE DENTAL HEALTH P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
200 WESTGATE DR STE 2
BROCKTON, MA
ZIP 02301
Phone: (508) 587-5333
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FULL SERVICE DENTAL HEALTH P.C. is a general practice dentist in Brockton, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FULL SERVICE DENTAL HEALTH P.C. NPI is 1568512655. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 WESTGATE DR STE 2
BROCKTON, MA
ZIP 02301-810
Phone: (508) 587-5333
Fax: (508) 584-5017

The provider's authorized official is Raffi Merjik .
The authorized official title is Owner Dentist and has the following contact phone number (508) 587-5333.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice20001MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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