Active NPIOrganization

Wellington Circle Dental PC

Dentist, General Practice in Medford, Massachusetts

NPI Number1568690808
Practice location
616 Fellsway Ste 2, Medford, MA 02155-4957
Fax
781-306-9726
Last updated
June 25, 2009

Wellington Circle Dental PC is a healthcare organization based in Medford, MA. Wellington Circle Dental PC practices in Medford, MA. The NPI Number for Wellington Circle Dental PC is 1568690808 and holds a License No. 20719 (MA). The current practice location address for Wellington Circle Dental PC is 616 Fellsway Ste 2, Medford, MA 02155-4957 and can be reached out via phone at 781-306-9644 and via fax at 781-306-9726.

Provider Profile Details

NPI Number
1568690808
Provider Name
Wellington Circle Dental PC
Provider Entity Type
Organization
Address
616 Fellsway Ste 2, Medford, MA 02155-4957
Phone Number
781-306-9644
Fax Number
781-306-9726
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Jungwoo Lee, DMD · President · 617-308-9633
Provider Enumeration Date
June 25, 2009
Last Update Date
June 25, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
616 Fellsway Ste 2
Medford, MA 02155-4957
Zip
02155-4957
Phone Number
781-306-9644
Fax Number
781-306-9726
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
616 Fellsway Ste 2
Medford, MA 02155-4957
City
Medford
State
MA
Zip
02155-4957
Phone Number
781-306-9644

License Information

License Number
20719
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Wellington Circle Dental PC?

The NPI number of Wellington Circle Dental PC is 1568690808. It was assigned on June 25, 2009 and is currently active in the NPPES registry.

What is the specialty of Wellington Circle Dental PC?

Wellington Circle Dental PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20719.

Where does Wellington Circle Dental PC practice?

The practice location is 616 Fellsway Ste 2, Medford, MA 02155-4957. The office can be reached at 781-306-9644 (phone) or 781-306-9726 (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 1568690808 directly on the NPPES registry website.

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