Phoenix PC
Phoenix PC provides General Practice Dentistry in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.
- Licensed in
- MA
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
165 Westgate DrBrockton, MA 02301-1821 Not confirmed with CMS for 19 years — call before visiting
Phone: (781) 335-8355
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 13263 (MA) |
|---|
Record details
| NPI number | 1275720971 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peter Mortelliti — Owner · (315) 454-6000 |
| NPI enumerated | September 27, 2007 |
| Last updated in NPPES | September 27, 2007 |
| Mailing address | 281 Sanders Creek Pkwy, East Syracuse, NY 13057-1307 |
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