Jay Muruga Theva, D.M.D

General Practice Dentistry · Brockton, MA

Individual Active NPI

NPI number 1558622753

Practice location

200 Westgate Dr Ste 119
Brockton, MA 02301-1810
Phone
(508) 583-3840

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NPI record

NPI
1558622753
Entity type
Individual (Type 1)
Enumeration date
June 4, 2012
Last updated
June 4, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN1855979 MA

About Dr. Theva

Jay Muruga Theva, D.M.D is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 200 Westgate Dr Ste 119, Brockton, MA 02301-1810. The NPI number 1558622753 was assigned on June 4, 2012 and the record was last updated on June 4, 2012.

Dr. Theva lists a license in the registry: #DN1855979 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jay Muruga Theva, D.M.D?

The NPI number is 1558622753.

What is the phone number of Dr. Theva?

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

Where is Dr. Theva located?

200 Westgate Dr Ste 119, Brockton, MA 02301-1810.

What is the taxonomy code for Dr. Theva?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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