Active NPIIndividual provider

Dr. Lee W Thach, DMD

Dentist, Pediatric Dentistry in Everett, Massachusetts

NPI Number1407824741
Practice location
186 Elm St, Everett, MA 02149-5222
Fax
617-389-5885
Last updated
July 13, 2026

Lee W Thach is a Dentist, Pediatric Dentistry based in Everett, MA. Lee W Thach practices in Everett, MA and has the professional credentials of DMD. The NPI Number for Lee W Thach is 1407824741 and holds a License No. 19582 (MA). The current practice location address for Lee W Thach is 186 Elm St, Everett, MA 02149-5222 and can be reached out via phone at 617-389-2112 and via fax at 617-389-5885.

Provider Profile Details

NPI Number
1407824741
Provider Name
Lee W Thach
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
186 Elm St, Everett, MA 02149-5222
Phone Number
617-389-2112
Fax Number
617-389-5885
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
March 11, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
186 Elm St
Everett, MA 02149-5222
Zip
02149-5222
Phone Number
617-389-2112
Fax Number
617-389-5885
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
186 Elm St
Everett, MA 02149-5222
City
Everett
State
MA
Zip
02149-5222
Phone Number
617-389-2112
Fax Number
617-389-5885

License Information

License Number
19582
License State
MA
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · 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 Dr. Lee W Thach, DMD?

The NPI number of Dr. Lee W Thach, DMD is 1407824741. It was assigned on March 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Lee W Thach, DMD?

Dr. Lee W Thach, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number 19582.

Where does Dr. Lee W Thach, DMD practice?

The practice location is 186 Elm St, Everett, MA 02149-5222. The office can be reached at 617-389-2112 (phone) or 617-389-5885 (fax).

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 1407824741 directly on the NPPES registry website.

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