BROCKTON SMILES YOUTH DENTISTRY, LLC
NPI 1851581243
Dentist - General Practice in Brockton, MA

Active since July 31, 2007
70 WESTGATE DR, BROCKTON, MA 02301(508) 588-8090(508) 588-8010 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brockton Smiles Youth Dentistry, Llc NPPES

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

BROCKTON SMILES YOUTH DENTISTRY, LLC (NPI 1851581243) is a healthcare organization registered as a general practice in Brockton, Massachusetts and active in the NPI registry since July 2007. The organization lists Jenell Stump, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1851581243
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROCKTON SMILES YOUTH DENTISTRY, LLC
Location Address70 WESTGATE DRBrockton, MA 02301-1811
Mailing Address16 Arcade Unit 198747Nashville, TN 37219-1994 · (615) 750-0343 · Fax (615) 986-1705
Fax(508) 588-8010
Organization SubpartNo
Authorized OfficialJenell StumpManager, Licensing & Credentialing · (615) 750-0343
Enumeration DateJuly 31, 2007
Last NPPES UpdateJuly 9, 2014
NPI 1851581243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

70 WESTGATE DR, Brockton, MA 02301

Other Identifiers 1

Medicaid110077842AMA

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

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Dentist
70 WESTGATE DR
BROCKTON, MA 02301
Dentist (General Practice)
70 WESTGATE DR
BROCKTON, MA 02301
Dentist
70 WESTGATE DR
BROCKTON, MA 02301
Dentist (Pediatric Dentistry)
70 WESTGATE DR
BROCKTON, MA 02301
Dentist
70 WESTGATE DR
BROCKTON, MA 02301
Dentist (General Practice)
70 WESTGATE DR
BROCKTON, MA 02301
Dentist (General Practice)
70 WESTGATE DR
BROCKTON, MA 02301

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 Brockton Smiles Youth Dentistry, LLC's NPI number?

The NPI number for Brockton Smiles Youth Dentistry, LLC is 1851581243. It was assigned to this organization in the NPPES registry on July 31, 2007.

Where is Brockton Smiles Youth Dentistry, LLC located?

Brockton Smiles Youth Dentistry, LLC is located at 70 Westgate Dr, Brockton, MA 02301. The listed phone number is (508) 588-8090.

What is Brockton Smiles Youth Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Brockton Smiles Youth Dentistry, LLC accept?

Health plans from UnitedHealthcare list Brockton Smiles Youth Dentistry, LLC 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 Brockton Smiles Youth Dentistry, LLC was last updated on July 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.