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

Mackenzie Park

Individual provider Dentist · NPI 1033892559

Mackenzie Park is a Dentist in Brockton, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2023
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Practice location Address checks out

698 Crescent St
Brockton, MA 02302-3360
Phone: (508) 583-2256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN1859934 (MA)

Record details

NPI number1033892559
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 10, 2023
Last updated in NPPESAugust 10, 2023
Certification dateJune 6, 2023
Mailing address802 W Clinton St, Elmira, NY 14905-2108

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