Brousseau & Brousseau PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17150 Issued in MA

Legal business name

BROUSSEAU & BROUSSEAU PC

Doing business as

Attleboro Dental Associates

Practice address

152 Emory Street
Attleboro, MA 02703

Phone

(508) 222-8838

Fax

(508) 226-8157

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kevin M Brousseau, DMD

Title

President Dentist

Phone

(508) 222-8838

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Attleboro Dental Associates Doing business as

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437167384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 EMORY STREET",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "02703",
            "telephone_number": "508-222-8838",
            "fax_number": "508-226-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 EMORY STREET",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "02703",
            "telephone_number": "508-222-8838",
            "fax_number": "508-226-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUSSEAU & BROUSSEAU PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROUSSEAU",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "508-222-8838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPILGRIM HC",
            "identifier": "38852",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "622",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Attleboro Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ciara Mackenzie Breadmore
• Ellen Newell Breen, SLP
• Annika Bridges
• Elizabeth Broderick
• Adam Brodeur
• Justin Michael Brousseau
• Kevin M Brousseau, DMD
• Patricia L Brousseau, RN
• Alexia Brown
• Brittanie Marie Brown

• General Practice Dentistry in Attleboro, MA
• Providers in Attleboro, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.