Organization
BRAINTREE DENTISTRY AND BRACES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD PACHELLO (CHIEF REVENUE OFFICER)
(720) 475-6482
Entity
Organization
Contact information
Practice address
292 GROVE ST, BRAINTREE, MA 02184-7209
(781) 353-6030
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
(508) 872-3072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110078301A
—
MA
Enumeration date
03/11/2020
Last updated
03/23/2026
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