| Thomas Y Chang, MDS | |
|
63 Main St, Brockton, MA 02301-4042 | |
| (508) 559-6699 | |
| (508) 930-5073 |
| Full Name | Thomas Y Chang |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 63 Main St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548350549 | NPI | - | NPPES |
| V05568 | Other | MA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17581 (Massachusetts) | Primary |
| Entity Name | Brockton Neighborhood Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225085319 PECOS PAC ID: 3870491699 Enrollment ID: O20031230000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Y Chang, MDS 63 Main St, Brockton, MA 02301-4042 Ph: (508) 559-6699 | Thomas Y Chang, MDS 63 Main St, Brockton, MA 02301-4042 Ph: (508) 559-6699 |
Ann Cathrine Ong, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 715 Crescent St, Brockton, MA 02302 Phone: 774-539-0461 | |
Dr. Thanh-trang Trang Nguyen, DMD Dentist Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073 | |
Sheina Jean-marie, DMD Dentist Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073 | |
Julius N Coles, Dentist Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-584-2708 Fax: 508-559-1158 | |
Mackenzie Park, Dentist Medicare: Not Enrolled in Medicare Practice Location: 698 Crescent St, Brockton, MA 02302 Phone: 508-583-2256 | |
Dr. Divya Arora, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 772 Belmont St, Brockton, MA 02301 Phone: 508-580-8888 Fax: 508-580-8886 | |
Dr. Patricia Audate, DDS Dentist Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-894-3681 Fax: 508-599-1158 |