BROCKTON SMILES YOUTH DENTISTRY, LLC
NPI 1851581243
Dentist - General Practice in Brockton, MA

NPI Status: Active since July 31, 2007

Contact Information

70 WESTGATE DR
BROCKTON, MA
ZIP 02301
Phone: (508) 588-8090
Fax: (508) 588-8010

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About BROCKTON SMILES YOUTH DENTISTRY, LLC

This page provides the complete NPI Profile along with additional information for Brockton Smiles Youth Dentistry, Llc, a provider established in Brockton, Massachusetts operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1851581243 assigned on July 2007. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Jenell Stump (Manager, Licensing & Credentialing)

NPI
1851581243
Provider Name
BROCKTON SMILES YOUTH DENTISTRY, LLC
Entity Type
Organization
Location Address
70 WESTGATE DR BROCKTON, MA 02301
Location Phone
(508) 588-8090
Location Fax
(508) 588-8010
Mailing Address
16 ARCADE UNIT 198747 NASHVILLE, TN 37219
Mailing Phone
(615) 750-0343
Mailing Fax
(508) 588-8010
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-31-2007
Last Update Date
07-09-2014
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A dentist like Brockton Smiles Youth Dentistry, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JENELL STUMP

Authorized Official Title
MANAGER, LICENSING & CREDENTIALING
Authorized Official Phone
(615) 750-0343

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
110077842AMEDICAID (05)MA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1851581243
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28101108228
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 1 + 0 + 8 + 2 + 2 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1851581243 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437208584DR. JENIEVE PAUL D.M.D
Individual
Dentist70 WESTGATE DR
BROCKTON, MA 02301
(508) 588-8090
1669849816DR. KHUSHBOO JAIN D.M.D
Individual
Dentist (General Practice)70 WESTGATE DR
BROCKTON, MA 02301
(508) 588-8090
1134596745 SHIVANI SHIRGAVI D.M.D.
Individual
Dentist70 WESTGATE DR
BROCKTON, MA 02301
(508) 872-3325
1801252739 PALLAVI DAHAKE DMD
Individual
Dentist (General Practice)70 WESTGATE DR
BROCKTON, MA 02301
(508) 588-8090
1740631209DR. WILLIAM NGUYEN D.M.D
Individual
Dentist70 WESTGATE DR
BROCKTON, MA 02301
(508) 588-8090
1831675305 MARVA KHALID
Individual
Dentist (General Practice)70 WESTGATE DR
BROCKTON, MA 02301
(781) 854-1757
1659658540DR. PARNEET KAUR HEER DMD
Individual
Dentist (Pediatric Dentistry)70 WESTGATE DR
BROCKTON, MA 02301
(508) 588-8090
1174363154 MD ARIFUL ISLAM
Individual
Dentist (General Practice)70 WESTGATE DR
BROCKTON, MA 02301
(347) 657-6937

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851581243, enumerated in the NPI registry as an "organization" on July 31, 2007

The provider is located at 70 Westgate Dr Brockton, Ma 02301 and the phone number is (508) 588-8090

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 31, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.