Southeast Orthodontics, Inc

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1790236784

Southeast Orthodontics, Inc is an Orthodontics and Dentofacial Orthopedics Dentistry in Lakeville, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2016.

Licensed in: MA
In the registry since: 2016

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

40 Main St
Lakeville, MA 02347-1607
Phone: (508) 880-5891
Fax: (508) 802-9050

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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 (MA)

Record details

NPI number	1790236784
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Brian Gaudreault — President · (508) 880-5891
NPI enumerated	October 14, 2016
Last updated in NPPES	October 14, 2016
Mailing address	302 Broadway, Unit 6, Raynham, MA 02767-1439