METRO SOUTH DENTAL GROUP
NPI 1639612336
Dentist in Brockton, MA

Active since November 29, 2016
79 BYRON AVE, BROCKTON, MA 02301(781) 492-3389 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist

About METRO SOUTH DENTAL GROUP

This page provides the complete NPI Profile along with additional information for Metro South Dental Group, a provider established in Brockton, Massachusetts operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1639612336 assigned on November 2016. The practitioner's primary taxonomy code is 122300000X with license number DN20980 (MA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Richard Miller Dmd (Owner)

NPI
1639612336 Verify this NPI
Provider Name
METRO SOUTH DENTAL GROUP
Entity Type
Organization
Location Address
79 BYRON AVE BROCKTON, MA 02301
Location Phone
(781) 492-3389
Mailing Address
79 BYRON AVE BROCKTON, MA 02301
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2016
Last Update Date
11-29-2016
Code Navigator

A dentist like Metro South Dental Group is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
DN20980
License State
MA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RICHARD MILLER DMD

Authorized Official Title
OWNER
Authorized Official Phone
(781) 492-3389

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639612336, enumerated as an "organization" on November 29, 2016.

The provider is located at 79 BYRON AVE BROCKTON, MA 02301 and the phone number is (781) 492-3389.

Dentist with taxonomy code 122300000X.