Brockton Dental Group P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BROCKTON DENTAL GROUP P.C.

Practice address

231 Main St
Suite #200
Brockton, MA 02301

Phone

(508) 588-8338

Fax

(508) 583-8339

NPI assigned

Jun 25, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Ghazwan F. Ghazi, DMD

Title

President

Phone

(617) 462-3780

Specialties & licenses 1

Addresses

Other names 1

• Brockton Family Dentists Former legal business name

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1760610026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MAIN ST.",
            "address_2": "SUITE #200",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-588-8338",
            "fax_number": "508-583-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAIN ST",
            "address_2": "SUITE #200",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-588-8338",
            "fax_number": "508-583-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKTON DENTAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "GHAZI",
        "authorized_official_first_name": "GHAZWAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-462-3780",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brockton Family Dentists",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brockton Area Associaton for Retarded Citizens, Inc
• Brockton Area Multi-Services, Inc.
• Brockton Area Multi-Services, Inc.
• Brockton Cardiology Associates, PC
• Brockton Dental and Orthodontics PC
• Brockton Dialysis Center LLC
• Brockton Family Dental Inc.
• Brockton Health Center, LLC
• Brockton Healthcare Clinic LLC
• Brockton Healthcare Services LLC

• General Practice Dentistry in Brockton, MA
• Providers in Brockton, 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 Jan 16, 2015; 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.