Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Brockton Oral & Maxillofacial Surgery Inc

Organization Dentist · NPI 1457370504

Brockton Oral & Maxillofacial Surgery Inc provides Dentist services in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1351 Main St
Brockton, MA 02301
Phone: (508) 587-2000
Fax: (508) 580-3552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 16545 (MA)

Record details

NPI number1457370504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Fitzgerald — President · (508) 587-2000
NPI enumeratedJuly 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1351 Main St, Brockton, MA 02301

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