Organization Active NPI

DO Dental Care PC.

Doing business as Gentlecare Dentistry

  • General Practice Dentistry
  • Brockton, MA
National Provider Identifier
1356882203
Registry record updated Mar 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21089 Issued in MA
Legal business name
DO DENTAL CARE PC.
Doing business as
Gentlecare Dentistry
Practice address
792 N Main St
Brockton, MA 02301-2442
Phone
(508) 565-8338
NPI assigned
Mar 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2017

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

Authorized official

Name
Dr. Cuong P. DO, DMD
Title
President/Dentist
Phone
(508) 565-8338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN21089 MA Primary

Addresses

Primary practice location

792 N Main St
Brockton, MA 02301-2442

Mailing address

26 Rustlewood Rd
Milton, MA 02186-2808
Phone (508) 565-8338

Other names 1

  • Gentlecare Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

792 N Main St
Brockton, MA 02301
Phone (508) 565-8338

NPI Registry JSON

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

{
    "created_epoch": "1489276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489276800000",
    "number": "1356882203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RUSTLEWOOD RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021862808",
            "telephone_number": "508-565-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012442",
            "telephone_number": "508-565-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DO DENTAL CARE PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-12",
        "last_updated": "2017-03-12",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "CUONG",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "508-565-8338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN21089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentlecare Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2017; 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.