Metro South Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

DN20980 Issued in MA

Legal business name

METRO SOUTH DENTAL GROUP

Practice address

79 Byron Ave
Brockton, MA 02301-4201

Phone

(781) 492-3389

NPI assigned

Nov 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Richard Miller, DMD

Title

Owner

Phone

(781) 492-3389

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1639612336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 BYRON AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BYRON AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014201",
            "telephone_number": "781-492-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO SOUTH DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-492-3389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN20980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariel Meserve, LCSW
• Bradley Mesidor
• Renee Messier
• Lisa Messina
• Nicole Abdallah Metri, MD
• Maud Meulstee, FNP
• Daphne Meus
• Patrick M Meuse
• Meyer Physical Therapy
• Michael L. Shapiro, DMD,P.C.

• Dentist in Brockton, MA
• Providers in Brockton, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.