SUPER BRACES
NPI 1699214593
Dentist - Orthodontics and Dentofacial Orthopedics in Southbridge, MA

Active since February 13, 2017
39 ELM ST, SUITE 301, SOUTHBRIDGE, MA 01550(508) 909-6719 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2021, Feb 15, 2017 (2 updates tracked since 2017).

About Super Braces NPPES

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

SUPER BRACES (NPI 1699214593) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Southbridge, Massachusetts and active in the NPI registry since February 2017. The organization lists Houssam Alkhoury, President, as its authorized official.

NPPES Registry Identity

NPI1699214593
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameSOUTHBRIDGE BRACES PC
Location Address39 ELM ST, SUITE 301Southbridge, MA 01550-2644
Mailing Address87 Elm St, Third FloorHopkinton, MA 01748-1638 · (508) 589-8270 · Fax (508) 319-3339
Organization SubpartNo
Authorized OfficialHoussam AlkhouryPresident · (508) 505-5040
Enumeration DateFebruary 13, 2017
Last NPPES UpdateMay 17, 20212 updates tracked since enumeration
NPPES CertifiedMay 17, 2021
NPI 1699214593 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 MA · DN20511
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.
39 ELM ST, Southbridge, MA 01550

Other Names 1

Doing Business AsSuper Braces

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 Southbridge Braces PC's NPI number?

The NPI number for Southbridge Braces PC is 1699214593. It was assigned to this organization in the NPPES registry on February 13, 2017. The provider is doing business as Super Braces.

Where is Southbridge Braces PC located?

Southbridge Braces PC is located at 39 Elm St Suite 301, Southbridge, MA 01550. The listed phone number is (508) 909-6719.

What is Southbridge Braces PC'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 Southbridge Braces PC was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.