GRIGORY BABADUSTOV DMD
NPI 1548296874
Dentist in Brockton, MA

Q: What is Grigory Babadustov's NPI number?

The NPI number for Grigory Babadustov is 1548296874. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Q: What is Grigory Babadustov's specialty?

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

Active since June 26, 2006

200 WESTGATE DRIVE, STE E135, BROCKTON, MA 02301(508) 583-3840 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Grigory Babadustov Dmd NPPES

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

GRIGORY BABADUSTOV DMD (NPI 1548296874) is an individual dentist in Brockton, Massachusetts, licensed in Massachusetts (17185) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1548296874

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameGRIGORY BABADUSTOVCredential: DMD

Location Address200 WESTGATE DRIVE, STE E135Brockton, MA 02301

Mailing Address20 Egmont St, Apt 3Brookline, MA 02446-3614 · (617) 734-4164

Phone(508) 583-3840

Sole ProprietorNo

Enumeration DateJune 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1548296874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MA · 17185

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.

200 WESTGATE DRIVE, Brockton, MA 02301

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Accepted Insurance

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

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 Grigory Babadustov's NPI number?

The NPI number for Grigory Babadustov is 1548296874. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Grigory Babadustov located?

Grigory Babadustov practices at 200 Westgate Drive Ste E135, Brockton, MA 02301. The listed phone number is (508) 583-3840.

What is Grigory Babadustov's specialty?

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

What insurance does Grigory Babadustov accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Grigory Babadustov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grigory Babadustov was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.