Active NPIOrganization

Jeonglee Dmdpc INC

Dentist in Malden, Massachusetts

NPI Number1245603836
Practice location
452 Pleasant St, #110, Malden, MA 02148-8117
Fax
—
Last updated
November 5, 2015

Jeonglee Dmdpc INC is a healthcare organization based in Malden, MA. Jeonglee Dmdpc INC practices in Malden, MA. The NPI Number for Jeonglee Dmdpc INC is 1245603836 and holds a License No. DN1855209 (MA). The current practice location address for Jeonglee Dmdpc INC is 452 Pleasant St, #110, Malden, MA 02148-8117 and can be reached out via phone at 781-322-4914.

Provider Profile Details

NPI Number
1245603836
Provider Name
Jeonglee Dmdpc INC
Provider Entity Type
Organization
Address
452 Pleasant St, #110, Malden, MA 02148-8117
Phone Number
781-322-4914
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Jeong Sook Lee · Dentist · 781-322-4914
Provider Enumeration Date
November 5, 2015
Last Update Date
November 5, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
452 Pleasant St
#110
Malden, MA 02148-8117
City
Malden
Zip
02148-8117
Phone Number
781-322-4914
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
452 Pleasant St
#110
Malden, MA 02148-8117
City
Malden
State
MA
Zip
02148-8117

License Information

License Number
DN1855209
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jeonglee Dmdpc INC?

The NPI number of Jeonglee Dmdpc INC is 1245603836. It was assigned on November 5, 2015 and is currently active in the NPPES registry.

What is the specialty of Jeonglee Dmdpc INC?

Jeonglee Dmdpc INC is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1855209.

Where does Jeonglee Dmdpc INC practice?

The practice location is 452 Pleasant St, #110, Malden, MA 02148-8117. The office can be reached at 781-322-4914 (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 1245603836 directly on the NPPES registry website.

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