Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

SE Ortho Mansfield, Inc

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1487183265

SE Ortho Mansfield, Inc is an Orthodontics and Dentofacial Orthopedics Dentistry in Mansfield, Massachusetts. Licensed in Marshall Islands. Registered with an NPI since 2017.

Licensed in
MH
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Copeland Dr Ste 9
Mansfield, MA 02048-1245
Phone: (508) 339-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 19702 (MH)

Record details

NPI number1487183265
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Gaudreault — Owner/President · (508) 880-5891
Other names Southeast Orthodontics
NPI enumeratedJune 6, 2017
Last updated in NPPESJune 6, 2017
Mailing address302 Broadway Unit 6, Raynham, MA 02767-1439

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