BROCKTON ORAL & MAXILLOFACIAL SURGERY INC - NPI 1457370504

Q: What is Brockton Oral & Maxillofacial Surgery Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

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About Brockton Oral & Maxillofacial Surgery Inc NPPES

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

BROCKTON ORAL & MAXILLOFACIAL SURGERY INC (NPI 1457370504) is a healthcare organization registered as a dentist in Brockton, Massachusetts and active in the NPI registry since July 2006. The organization lists Paul M Fitzgerald, President, as its authorized official.

NPPES Registry Identity

NPI1457370504

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameBROCKTON ORAL & MAXILLOFACIAL SURGERY INC

Location Address1351 MAIN STBrockton, MA 02301

Mailing Address1351 Main StBrockton, MA 02301 · (508) 587-2000 · Fax (508) 580-3552

Phone(508) 587-2000

Fax(508) 580-3552

Organization SubpartNo

Authorized OfficialPaul M FitzgeraldPresident · (508) 587-2000

Enumeration DateJuly 19, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1457370504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MA · 16545

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1351 MAIN ST, Brockton, MA 02301

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Other Identifiers 2

Medicaid9774521MA

OtherX10443MA · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 10

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

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