Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRIGORY BABADUSTOV, DMD
ActiveGRIGORY BABADUSTOV, DMD is a Dentist healthcare provider located in BROCKTON, Massachusetts. NPI 1548296874 is currently active in the NPPES registry. Verify at CMS.
Dentist · BROCKTON, MA
Registration Details
- NPI Number
- 1548296874
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2006 (19.959831507044 yrs)
- Last Updated
- Jul 8, 2007
- License
-
17185 (MA)
Practice Information
- Address
-
200 WESTGATE DRIVESTE E135BROCKTON, MA, 02301Browse MA providers · Browse ZIP 02301
- Phone
- 5085833840
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in BROCKTON, MA
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL MARTIN FITZGERALD | DMD | 1275588956 |
| MATHI THEVA | — | 1114956315 |
| DR. GARY H MIKELS | DMD | 1184641136 |
| DR. DANIEL DAVID WINKLER | DMD | 1760585186 |
| DR. GABRIELLA BABU | DMD | 1063516250 |
| DR. LAWRENCE ARTHUR TRUFANT | DMD | 1073613550 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.