PHOENIX PC
NPI 1275720971
Dentist - General Practice in Brockton, MA

Active since September 27, 2007
165 WESTGATE DR, BROCKTON, MA 02301(781) 335-8355 Get Directions Write a Review

NPPES record last updated: September 27, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Pc NPPES

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

PHOENIX PC (NPI 1275720971) is a healthcare organization registered as a general practice in Brockton, Massachusetts and active in the NPI registry since September 2007. The organization lists Peter Mortelliti, Owner, as its authorized official.

NPPES Registry Identity

NPI1275720971
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePHOENIX PC
Location Address165 WESTGATE DRBrockton, MA 02301-1821
Mailing Address281 Sanders Creek PkwyEast Syracuse, NY 13057-1307 · (315) 454-6000
Organization SubpartNo
Authorized OfficialPeter MortellitiOwner · (315) 454-6000
Enumeration DateSeptember 27, 2007
NPI 1275720971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MA · 13263
Definition
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.
165 WESTGATE DR, Brockton, MA 02301

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

Hearing Instrument Specialist
165 WESTGATE DR
BROCKTON, MA 02301
Hearing Instrument Specialist
165 WESTGATE DR
BROCKTON, MA 02301
Hearing Instrument Specialist
165 WESTGATE DR
BROCKTON, MA 02301
Hearing Instrument Specialist
165 WESTGATE DR
BROCKTON, MA 02301
Hearing Instrument Specialist
165 WESTGATE DR
BROCKTON, MA 02301
Hearing Instrument Specialist
165 WESTGATE DR
BROCKTON, MA 02301
Dentist
165 WESTGATE DR
BROCKTON, MA 02301
Hearing Instrument Specialist
165 WESTGATE DR
BROCKTON, MA 02301

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 Phoenix PC's NPI number?

The NPI number for Phoenix PC is 1275720971. It was assigned to this organization in the NPPES registry on September 27, 2007.

Where is Phoenix PC located?

Phoenix PC is located at 165 Westgate Dr, Brockton, MA 02301. The listed phone number is (781) 335-8355.

What is Phoenix PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Phoenix PC was last updated on September 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.