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

Southeastern Oral & Maxillofacial Surgeons PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1225115470

Southeastern Oral & Maxillofacial Surgeons PC is an Oral and Maxillofacial Surgery (Dentist) in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

951 N Main St
Brockton, MA 02301
Phone: (508) 588-0200
Fax: (508) 583-6156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 18127 (MA)

Record details

NPI number1225115470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Coyne — President · (508) 588-0200
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address951 North Main Street, Brockton, MA 02301

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