Brockton Oral & Maxillofacial Surgery Inc is a Dental Clinic in Brockton, Massachusetts. It is located at 1351 Main St, Brockton, MA and its contact number is 508-587-2000. The authorized person for Brockton Oral & Maxillofacial Surgery Inc is Paul M Fitzgerald
who is President of the clinic and their contact number is 508-587-2000. The primary license number for Brockton Oral & Maxillofacial Surgery Inc is 16545 (Dentist) in Massachusetts. Brockton Oral & Maxillofacial Surgery Inc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Brockton Oral & Maxillofacial Surgery Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Brockton Oral & Maxillofacial Surgery Inc
Specialization:
Dentistry
Clinic Address:
1351 Main St, Brockton, Massachusetts, 02301
Phone:
508-587-2000
Fax:
508-580-3552
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Paul M Fitzgerald
Position:
President
Contact Number:
508-587-2000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Brockton Oral & Maxillofacial Surgery Inc clinic are as mentioned below.
NPI Number:
1457370504
NPI Enumeration Date:
19 Jul, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brockton Oral & Maxillofacial Surgery Inc are as mentioned below.
Specialization
License Number
State
Status
Dentist
16545
Massachusetts
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
X10443
Other
Massachusetts
Bcbs
9774521
Medicaid
Massachusetts
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Brockton Oral & Maxillofacial Surgery Inc 1351 Main St, Brockton, Massachusetts
Zip:
02301
Phone Number:
508-587-2000
Fax Number:
508-580-3552
Patients can reach Brockton Oral & Maxillofacial Surgery Inc at 1351 Main St, Brockton, Massachusetts or can call to book an appointment on 508-587-2000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.