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SEABREEZE DENTAL CARE LLC NPI 1619522455


NPI Information

NPI: 1619522455
Provider Name: SEABREEZE DENTAL CARE, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
28 FAIRHAVEN RD
MATTAPOISETT, MA
ZIP 02739
Phone: (508) 758-4818
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SEABREEZE DENTAL CARE, LLC is a general practice dentist in Mattapoisett, 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. SEABREEZE DENTAL CARE, LLC NPI is 1619522455. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28 FAIRHAVEN RD
MATTAPOISETT, MA
ZIP 02739-479
Phone: (508) 758-4818
Fax: (508) 758-1369

The provider's authorized official is Mardy Costa .
The authorized official title is Administrator and has the following contact phone number (508) 728-5019.

The enumeration date for this NPI number is 8/8/2019 and was last updated on 8/8/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

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: 5/5/2024

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