Brockton Smiles Youth Dentistry, Llc is a Dental Clinic in Brockton, Massachusetts. It is located at 70 Westgate Dr, Brockton, MA and its contact number is 508-588-8090. The authorized person for Brockton Smiles Youth Dentistry, Llc is Mrs. Jenell Stump
who is Manager, Licensing & Credentialing of the clinic and their contact number is 615-750-0343. Brockton Smiles Youth Dentistry, Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Brockton Smiles Youth Dentistry, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
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:
Mrs. Jenell Stump
Position:
Manager, Licensing & Credentialing
Contact Number:
615-750-0343
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 Smiles Youth Dentistry, Llc clinic are as mentioned below.
NPI Number:
1851581243
NPI Enumeration Date:
31 Jul, 2007
NPI Last Update On:
09 Jul, 2014
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 Smiles Youth Dentistry, Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
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
110077842A
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.
Patients can reach Brockton Smiles Youth Dentistry, Llc at 70 Westgate Dr, Brockton, Massachusetts or can call to book an appointment on 508-588-8090. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.