Organization · Type 2 NPI

Southeast Pediatric Dentistry and Orthodontics, PC

Orthodontics and Dentofacial Orthopedics Dentistry · Seekonk, MA

NPI number 1457772246 Active

Practice location

23 Commerce Way
Seekonk, MA 02771-5816

Mailing address

841 Belmont St
Brockton, MA 02301-5545

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X1855240 (MA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X19702 (MA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1457772246

Southeast Pediatric Dentistry and Orthodontics, PC's National Provider Identifier is 1457772246, issued on Dec 20, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Seekonk, MA. The record was last updated on Dec 20, 2013.