OrganizationActive
Southeast Orthodontics, Inc.
NPI 1114095361 · Dental Clinic/Center · Brockton, MA
Southeast Orthodontics, Inc. is a Dental Clinic/Center organization in Brockton, MA (NPI 1114095361).
Provider details
- NPI number
- 1114095361
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Gaudreault, President(508) 587-8623
- License
- 19702 (MA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
841 Belmont St
Brockton, MA 02301-5545
Phone: (508) 587-8623
Street-level locationGet directions
Mailing address
841 Belmont Street
Brockton, MA 02030
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2016-10-03
Frequently asked questions
- What is Southeast Orthodontics, Inc.'s NPI number?
- Southeast Orthodontics, Inc.'s National Provider Identifier (NPI) is 1114095361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Orthodontics, Inc.?
- Southeast Orthodontics, Inc. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southeast Orthodontics, Inc. located?
- Southeast Orthodontics, Inc.'s practice location on file with NPPES is 841 Belmont St, Brockton, MA 02301-5545.
- What is Southeast Orthodontics, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Southeast Orthodontics, Inc. is (508) 587-8623.
- Who is the authorized official for Southeast Orthodontics, Inc.?
- The authorized official listed on Southeast Orthodontics, Inc.'s NPPES record is Brian Gaudreault, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Orthodontics, Inc.'s NPI active?
- Yes — Southeast Orthodontics, Inc.'s NPI (1114095361) is active in the NPPES registry as of the last update on 2016-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.