Organization · Type 2 NPI
Michael G. Broutsas D.d.s.,p.c.
Oral and Maxillofacial Surgery (Dentist) · Taunton, MA
NPI number
1205146248
Active
Practice location
54 Winthrop St
Taunton, MA 02780-4228
Fax (823) 075-7508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 12159 (MA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.
Another provider at this address
About NPI 1205146248
Michael G. Broutsas D.d.s.,p.c.'s National Provider Identifier is 1205146248, issued on Oct 8, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Taunton, MA. The record was last updated on Oct 8, 2010.