SOUTHEAST ORTHODONTICS
NPI 1487183265
Dentist - Orthodontics and Dentofacial Orthopedics in Mansfield, MA

Active since June 06, 2017
100 COPELAND DR STE 9, MANSFIELD, MA 02048(508) 339-5500 Get Directions Write a Review

NPPES record last updated: June 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southeast Orthodontics NPPES

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

SOUTHEAST ORTHODONTICS (NPI 1487183265) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Mansfield, Massachusetts and active in the NPI registry since June 2017. The organization lists Brian R Gaudreault, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1487183265
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameSE ORTHO MANSFIELD, INC.
Location Address100 COPELAND DR STE 9Mansfield, MA 02048-1245
Mailing Address302 Broadway Unit 6Raynham, MA 02767-1439 · (508) 880-5891
Organization SubpartNo
Authorized OfficialBrian R GaudreaultOwner/president · (508) 880-5891
Enumeration DateJune 6, 2017
NPI 1487183265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MH · 19702
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
100 COPELAND DR STE 9, Mansfield, MA 02048

Other Names 1

Doing Business AsSoutheast Orthodontics

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

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 SE Ortho Mansfield, Inc.'s NPI number?

The NPI number for SE Ortho Mansfield, Inc. is 1487183265. It was assigned to this organization in the NPPES registry on June 6, 2017. The provider is doing business as Southeast Orthodontics.

Where is SE Ortho Mansfield, Inc. located?

SE Ortho Mansfield, Inc. is located at 100 Copeland Dr Ste 9, Mansfield, MA 02048. The listed phone number is (508) 339-5500.

What is SE Ortho Mansfield, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for SE Ortho Mansfield, Inc. was last updated on June 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.