Dr. Jack Ssu-Chieh Lee, DMD
Dentist in Medford, Massachusetts
1205157435- Practice location
- 100 Rivers Edge Dr, Unit 421, Medford, MA 02155-5460
- Phone
- 617-953-1824
- Fax
- —
- Last updated
- June 22, 2010
Jack Ssu-Chieh Lee is a Dentist based in Medford, MA. Jack Ssu-Chieh Lee practices in Medford, MA and has the professional credentials of DMD. The NPI Number for Jack Ssu-Chieh Lee is 1205157435 and holds a License No. DN1855439 (MA). The current practice location address for Jack Ssu-Chieh Lee is 100 Rivers Edge Dr, Unit 421, Medford, MA 02155-5460 and can be reached out via phone at 617-953-1824.
Provider Profile Details
- NPI Number
- 1205157435
- Provider Name
- Jack Ssu-Chieh Lee
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Rivers Edge Dr, Unit 421, Medford, MA 02155-5460
- Phone Number
- 617-953-1824
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 22, 2010
- Last Update Date
- June 22, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Rivers Edge Dr
Unit 421
Medford, MA 02155-5460 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-5460
- Phone Number
- 617-953-1824
Provider Business Mailing Address Details
- Address
- 100 Rivers Edge Dr
Unit 421
Medford, MA 02155-5460 - City
- Medford
- State
- MA
- Zip
- 02155-5460
- Phone Number
- 617-953-1824
License Information
- License Number
- DN1855439
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Medford, MA
View all Dentists in Medford →Frequently Asked Questions
What is the NPI number of Dr. Jack Ssu-Chieh Lee, DMD?
The NPI number of Dr. Jack Ssu-Chieh Lee, DMD is 1205157435. It was assigned on June 22, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Jack Ssu-Chieh Lee, DMD?
Dr. Jack Ssu-Chieh Lee, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1855439.
Where does Dr. Jack Ssu-Chieh Lee, DMD practice?
The practice location is 100 Rivers Edge Dr, Unit 421, Medford, MA 02155-5460. The office can be reached at 617-953-1824 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205157435 directly on the NPPES registry website.