Mackenzie Park
Dentist · Brockton, MA
Practice location
698 Crescent StBrockton, MA 02302-3360
- Phone
- (508) 583-2256
NPI record
- NPI
- 1033892559
- Entity type
- Individual (Type 1)
- Enumeration date
- August 10, 2023
- Last updated
- August 10, 2023
- Certified
- June 6, 2023
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
DN1859934 | MA |
Mailing address
802 W Clinton StElmira, NY 14905-2108
About Mackenzie Park
Mackenzie Park is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 698 Crescent St, Brockton, MA 02302-3360. The NPI number 1033892559 was assigned on August 10, 2023 and the record was last updated on August 10, 2023.
Mackenzie Park lists a license in the registry: #DN1859934 (MA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mackenzie Park?
The NPI number is 1033892559.
What is the phone number of Mackenzie Park?
The phone number listed for the practice location is (508) 583-2256.
Where is Mackenzie Park located?
698 Crescent St, Brockton, MA 02302-3360.
What is the taxonomy code for Mackenzie Park?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dentist providers in Brockton
- Patricia Audate, DDS63 Main St
- John P Blatz Jr DDS PC288 Belmont Street
- Matthew Manzi DMD PC288 Belmont St
- Gabriella Babu, DMD839 Pleasant St
- Lawrence Arthur Trufant, DMD940 Belmont St
- Magda Bolivar Gaul, DMD63 Main St
- Hero Dental of Brockton, PA21torrey
- Rahul Malik DMD LLC601 Pleasant St
- Noor Naseer Salih Twaij601 Pleasant St # 601
- Mathi Theva200 West Gate Dr
- Yves Betty Gattereau63 Main St
- Shivani Shirgavi, D.M.D.70 Westgate Dr