Phoenix Pc

LBN: Phoenix Pc
Phoenix Pc is an health care organization with primary practice located at 165 Westgate Dr , Brockton MA 02301-1821. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Phoenix Pc can be contacted via phone (781) 335-8355, or through Mortelliti, Peter via phone (315) 454-6000.

Contact Information

Primary practice address
165 Westgate Dr Brockton MA 02301-1821
Phone: (781) 335-8355
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mortelliti, Peter
Phone: (315) 454-6000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13263 Massachusetts

Profile Details

NPI number 1275720971
LBN Legal business name Phoenix Pc
DBA Doing business as
Authorized official Mortelliti, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2007
Last updated Sep 27th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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