GRIGORY BABADUSTOV (NPI# 1548296874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548296874 |
| Entity Type | Individual |
| Full Name | GRIGORY BABADUSTOV |
| Credential | DMD |
| Practice Address |
200 Westgate Drive Ste E135 Brockton MA 02301 |
| Mailing Address |
20 Egmont St Apt 3 Brookline MA 02446-3614 |
| Practice Telephone | 5085833840 |
| Mailing Telephone | 6177344164 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 17185 | MA | Dental Providers |
| Street Address |
200 WESTGATE DRIVE STE E135 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664925 | Brockton Dental and Orthodontics PC | Dentist | 231 Main St Ste 200, Brockton, MA 02301-4342 | 2019-11-27 |
| 1235388273 | Ahmed Emad Zaid | Dentist | 698 Crescent St, Brockton, MA 02302 | 2008-09-15 |
| 1083801419 | Hero Dental of Brockton, Pa | Dentist | 21torrey, Brockton, MA 02301 | 2007-10-01 |
| 1942320254 | Stephen J Black | Dentist | 288 Belmont Street, Brockton, MA 02301 | 2007-03-30 |
| 1437208584 | Jenieve Paul | Dentist | 70 Westgate Dr, Brockton, MA 02301-1811 | 2007-01-09 |
| 1063516250 | Gabriella Babu | Dentist | 839 Pleasant St, Brockton, MA 02301-3076 | 2006-09-11 |
| 1184641136 | Gary H Mikels | Dentist | 348 North Pearl St, Suite 1, Brockton, MA 02301 | 2006-07-16 |
| 1699704999 | Mathi Theva Dmd PC | Dentist | 200 West Gate Dr, Suite 135, Brockton, MA 02301 | 2006-07-01 |
| 1093338683 | Emily You You Ye | Dentist | 698 Crescent St, Brockton, MA 02302-3360 | 2020-05-19 |
| 1801425228 | Hilary Blair Mcfadden | Dentist | 698 Crescent St, Brockton, MA 02302-3360 | 2020-04-07 |
| Find all providers in BROCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.