Southeastern Oral & Maxillofacial Surgeons Pc
Oral and Maxillofacial Dental Clinic
951 North Main Street, Brockton
Massachusetts, 02301
508-588-0200 508-583-6156
Maps & DirectionsSoutheastern Oral & Maxillofacial Surgeons Pc is a Oral and Maxillofacial Dental Clinic in Brockton, Massachusetts. It is located at 951 North Main Street, Brockton, MA and its contact number is 508-588-0200. The authorized person for Southeastern Oral & Maxillofacial Surgeons Pc is Dr. John F Coyne
who is President of the clinic and their contact number is 508-588-0200. The primary license number for Southeastern Oral & Maxillofacial Surgeons Pc is 18127 (Oral and Maxillofacial Surgery) in Massachusetts.
Southeastern Oral & Maxillofacial Surgeons Pc Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Southeastern Oral & Maxillofacial Surgeons Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southeastern Oral & Maxillofacial Surgeons Pc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 951 North Main Street, Brockton,
Massachusetts, 02301 |
| Phone: | 508-588-0200 |
| Fax: | 508-583-6156 |
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: | Dr. John F Coyne |
| Position: | President |
| Contact Number: | 508-588-0200 |
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 Southeastern Oral & Maxillofacial Surgeons Pc clinic are as mentioned below.
| NPI Number: | 1225115470 |
| NPI Enumeration Date: | 01 Nov, 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 Southeastern Oral & Maxillofacial Surgeons Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 18127 | 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 |
| X20040 | 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: | Southeastern Oral & Maxillofacial Surgeons Pc
951 North Main Street,
Brockton, Massachusetts |
| Zip: | 02301 |
| Phone Number: | 508-588-0200 |
| Fax Number: | 508-583-6156 |
Patients can reach Southeastern Oral & Maxillofacial Surgeons Pc at
951 North Main Street, Brockton, Massachusetts or can
call to book an appointment on 508-588-0200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.