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SOUTHEAST ORTHODONTICS, INC.
NPI 1114095361
Clinic/Center - Dental in Brockton, MA

Active since December 04, 2006
841 BELMONT ST, BROCKTON, MA 02301(508) 587-8623 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeast Orthodontics, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST ORTHODONTICS, INC. (NPI 1114095361) is a healthcare organization registered as a dental in Brockton, Massachusetts and active in the NPI registry since December 2006. The organization lists Brian Richard Gaudreault, President, as its authorized official.

NPPES Registry Identity

NPI1114095361
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTHEAST ORTHODONTICS, INC.
Location Address841 BELMONT STBrockton, MA 02301-5545
Mailing Address841 Belmont StreetBrockton, MA 02030 · (508) 587-8623
Phone(508) 587-8623
Organization SubpartNo
Authorized OfficialBrian Richard GaudreaultPresident · (508) 587-8623
Enumeration DateDecember 4, 2006
Last NPPES UpdateOctober 3, 2016
✔ NPI 1114095361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MA · 19702
841 BELMONT ST, Brockton, MA 02301
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN GAUDREAULT D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
841 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 587-8623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Orthodontics, Inc.'s NPI number?

The NPI number for Southeast Orthodontics, Inc. is 1114095361. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Southeast Orthodontics, Inc. located?

Southeast Orthodontics, Inc. is located at 841 Belmont St, Brockton, MA 02301. The listed phone number is (508) 587-8623.

What is Southeast Orthodontics, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Southeast Orthodontics, Inc. was last updated on October 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.