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

Grigory Babadustov, DMD

Individual provider Dentist · NPI 1548296874

Grigory Babadustov, DMD is a 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?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

200 Westgate Dr Ste E135
Brockton, MA 02301
Phone: (508) 583-3840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 17185 (MA)

Record details

NPI number1548296874
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESJuly 8, 2007

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