Mathi Theva

Dentist · Brockton, MA

Individual Active NPI

NPI number 1114956315

Practice location

200 West Gate Dr
Suite 135 Unident Dental Center
Brockton, MA 02301
Phone
(508) 583-3840
Fax
(508) 559-6577

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NPI record

NPI
1114956315
Entity type
Individual (Type 1)
Enumeration date
July 1, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 17809 MA

Mailing address

99 Canavan Drive
Braintree, MA 02184
Phone
(781) 849-3422

About Mathi Theva

Mathi Theva is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 200 West Gate Dr, Suite 135 Unident Dental Center, Brockton, MA 02301. The NPI number 1114956315 was assigned on July 1, 2006 and the record was last updated on July 8, 2007.

Mathi Theva lists a license in the registry: #17809 (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 Mathi Theva?

The NPI number is 1114956315.

What is the phone number of Mathi Theva?

The phone number listed for the practice location is (508) 583-3840.

Where is Mathi Theva located?

200 West Gate Dr, Suite 135 Unident Dental Center, Brockton, MA 02301.

What is the taxonomy code for Mathi Theva?

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.

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