Organization
SOUTHEAST PEDIATRIC DENTISTRY AND ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN RICHARD GAUDREAULT DMD (OWNER)
(508) 345-7075
Entity
Organization
Contact information
Practice address
23 COMMERCE WAY, SEEKONK, MA 02771-5816
(508) 336-4994
Mailing address
841 BELMONT ST, BROCKTON, MA 02301-5545
(508) 587-8623
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
1855240
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19702
MA
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us