NPI 1336203850 · live from the CMS NPI Registry
Arch Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in Brockton, MA. National Provider Identifier 1336203850, active.
NPI record
| NPI | 1336203850 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 348 N Pearl St, Suite 3, Brockton, MA 02301 |
| Practice phone | 508-584-1166 |
| Enumerated | December 20, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Rebecca Mugherini, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 21543 (MA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 20325 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.