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ELITE DENTAL GROUP PC
NPI 1811352537
Dentist - General Practice in Brockton, MA

Active since December 22, 2015
76 SOUTH ST, BROCKTON, MA 02301(508) 583-1772(508) 560-5616 Get Directions Write a Review

NPPES record last updated: December 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elite Dental Group Pc NPPES

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

ELITE DENTAL GROUP PC (NPI 1811352537) is a healthcare organization registered as a general practice in Brockton, Massachusetts and active in the NPI registry since December 2015. The organization lists Sathish L Gobichettypalayam, President, as its authorized official.

NPPES Registry Identity

NPI1811352537
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELITE DENTAL GROUP PC
Location Address76 SOUTH STBrockton, MA 02301-6841
Mailing Address76 South StBrockton, MA 02301-6841 · (508) 583-1772 · Fax (508) 560-5616
Phone(508) 583-1772
Fax(508) 560-5616
Organization SubpartNo
Authorized OfficialSathish L GobichettypalayamPresident · (781) 698-7136
Enumeration DateDecember 22, 2015
✔ NPI 1811352537 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 · 22099
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.
76 SOUTH ST, Brockton, MA 02301
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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

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

GEOFFREY BAGUIDY
Occupational Therapy Assistant
76 SOUTH ST
BROCKTON, MA 02301
Plymouth County (781) 354-3694

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 Elite Dental Group PC's NPI number?

The NPI number for Elite Dental Group PC is 1811352537. It was assigned to this organization in the NPPES registry on December 22, 2015.

Where is Elite Dental Group PC located?

Elite Dental Group PC is located at 76 South St, Brockton, MA 02301. The listed phone number is (508) 583-1772.

What is Elite Dental Group 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 Elite Dental Group PC was last updated on December 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.