Michael G. Broutsas D.D.S.,P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12159 Issued in MA

Legal business name

MICHAEL G. BROUTSAS D.D.S.,P.C.

Practice address

54 Winthrop St
Taunton, MA 02780-4228

Phone

(508) 824-7023

Fax

(823) 075-7508

NPI assigned

Oct 8, 2010

Last updated

Oct 8, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael G Broutsas, DDSNPI 1982612362

Title

Oral Surgeon

Phone

(508) 824-7023

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael George Broutsas, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Taunton, MA
  • NPI 1982612362
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1205146248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WINTHROP ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027804228",
            "telephone_number": "508-824-7023",
            "fax_number": "823-075-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WINTHROP ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027804228",
            "telephone_number": "508-824-7023",
            "fax_number": "823-075-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. BROUTSAS D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "BROUTSAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "508-824-7023",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "12159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Mendonca
• Mental Wellness
• Karlene Menzie
• Sara-Jane Allison Mercer-Medeiros
• Michael D. Williams, PC
• Kelsey Virginia Michaud, LMHC
• Juna Michel Saint Joy
• Lacy Elaine Milano, LICSW
• Jacquelline Milian, ATC
• Mill River Pediatrics

• Oral and Maxillofacial Surgery (Dentist) in Taunton, MA
• Providers in Taunton, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.