# MICHAEL G. BROUTSAS D.D.S.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205146248
- **Authorized official:** MR. MICHAEL G BROUTSAS DDS (ORAL SURGEON)
- **Authorized official phone:** (508) 824-7023

## Contact information

- **Practice address:** 54 WINTHROP ST, TAUNTON, MA 02780-4228
- **Practice address phone:** (508) 824-7023
- **Practice address fax:** (823) 075-7508
- **Mailing address:** 54 WINTHROP ST, TAUNTON, MA 02780-4228
- **Mailing address phone:** (508) 824-7023
- **Mailing address fax:** (823) 075-7508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12159 | MA | Yes |

## Other

- **Enumeration date:** 10/08/2010
- **Last updated:** 10/08/2010