Active NPIIndividual providerSole proprietor

Dr. Jaeseop Lee, DMD

Dentist, General Practice in Wilmington, Massachusetts

NPI Number1770830622
Practice location
211 Lowell St Unit K, Wilmington, MA 01887-3014
Fax
978-657-5828
Last updated
September 27, 2018

Jaeseop Lee is a Dentist, General Practice based in Wilmington, MA. Jaeseop Lee practices in Wilmington, MA and has the professional credentials of DMD. The NPI Number for Jaeseop Lee is 1770830622 and holds a License No. 03927 (NH). The current practice location address for Jaeseop Lee is 211 Lowell St Unit K, Wilmington, MA 01887-3014 and can be reached out via phone at 978-657-4550 and via fax at 978-657-5828.

Provider Profile Details

NPI Number
1770830622
Provider Name
Jaeseop Lee
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
211 Lowell St Unit K, Wilmington, MA 01887-3014
Phone Number
978-657-4550
Fax Number
978-657-5828
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 9, 2012
Last Update Date
September 27, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
211 Lowell St Unit K
Wilmington, MA 01887-3014
Zip
01887-3014
Phone Number
978-657-4550
Fax Number
978-657-5828
Wilmington, MA 01887Get directions →

Provider Business Mailing Address Details

Address
25 Loring St
Belmont, MA 02478-4714
City
Belmont
State
MA
Zip
02478-4714
Phone Number
617-308-2805

License Information

License Number (1)
03927
License State (1)
NH
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
DN1856715
License State (2)
MA
Taxonomy (2)
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 Dr. Jaeseop Lee, DMD?

The NPI number of Dr. Jaeseop Lee, DMD is 1770830622. It was assigned on August 9, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Jaeseop Lee, DMD?

Dr. Jaeseop Lee, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NH under license number 03927.

Where does Dr. Jaeseop Lee, DMD practice?

The practice location is 211 Lowell St Unit K, Wilmington, MA 01887-3014. The office can be reached at 978-657-4550 (phone) or 978-657-5828 (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 1770830622 directly on the NPPES registry website.

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