| Southeast Orthodontics, Inc. | |
|
40 Main St Lakeville MA 02347-1607 | |
| (508) 880-5891 | |
| (508) 802-9050 |
| Full Name | Southeast Orthodontics, Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 40 Main St, Lakeville, Massachusetts |
| Authorized Official Name and Position | Brian Richard Gaudreault (PRESIDENT) |
| Authorized Official Contact | 5088805891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Orthodontics, Inc. 302 Broadway Unit 6 Raynham MA 02767-1439 Ph: (508) 880-5891 | Southeast Orthodontics, Inc. 40 Main St Lakeville MA 02347-1607 Ph: (508) 880-5891 |
| NPI Number | 1790236784 |
|---|---|
| Provider Enumeration Date | 10/14/2016 |
| Last Update Date | 10/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790236784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 19702 (Massachusetts) | Primary |
Marion Village Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 Main Street, Suite 6 C/o Lakeville Dental, Lakeville, MA 02347 Phone: 508-923-6900 | |
Commonwealth Mobile Oral Health Services, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Colleen Dr, Lakeville, MA 02347 Phone: 508-947-0111 Fax: 508-743-7827 | |
Southeastern Dental Care, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 Bedford St, Lakeville, MA 02347 Phone: 508-947-5717 Fax: 508-947-8405 | |
Lakeville Dental Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 Main St, Suite 6, Lakeville, MA 02347 Phone: 508-923-6900 Fax: 508-946-0306 | |
Mobile Medical Dental (ma), P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Rhode Island Rd, Lakeville, MA 02347 Phone: 252-985-1371 | |
Lakeville Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 Main St, Suite 6, Lakeville, MA 02347 Phone: 508-923-6900 |