SOUTHEASTERN DENTAL CARE, PC
NPI 1588928147
Dentist - General Practice in Lakeville, MA

Active since June 28, 2012
336 BEDFORD ST, LAKEVILLE, MA 02347(508) 947-5717(508) 947-8405 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeastern Dental Care, Pc NPPES

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

SOUTHEASTERN DENTAL CARE, PC (NPI 1588928147) is a healthcare organization registered as a general practice in Lakeville, Massachusetts and active in the NPI registry since June 2012. The organization lists Minh-phuong Bui, President, as its authorized official.

NPPES Registry Identity

NPI1588928147
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHEASTERN DENTAL CARE, PC
Location Address336 BEDFORD STLakeville, MA 02347-2136
Mailing Address336 Bedford StLakeville, MA 02347-2136 · (508) 947-5717 · Fax (508) 947-8405
Fax(508) 947-8405
Organization SubpartNo
Authorized OfficialMinh-phuong BuiPresident · (508) 947-5717
Enumeration DateJune 28, 2012
NPI 1588928147 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 · 21958
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.

336 BEDFORD ST, Lakeville, MA 02347

Other Identifiers 1

Medicaid110068471AMA

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

Other Providers at the Same Location NPPES 2

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

Dentist (Endodontics)
336 BEDFORD ST
LAKEVILLE, MA 02347
Dentist
336 BEDFORD ST
LAKEVILLE, MA 02347

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 Southeastern Dental Care, PC's NPI number?

The NPI number for Southeastern Dental Care, PC is 1588928147. It was assigned to this organization in the NPPES registry on June 28, 2012.

Where is Southeastern Dental Care, PC located?

Southeastern Dental Care, PC is located at 336 Bedford St, Lakeville, MA 02347. The listed phone number is (508) 947-5717.

What is Southeastern Dental Care, 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 Southeastern Dental Care, PC was last updated on June 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.