Ted Lee Dmd
LBN: Boston Family Dental Llc
Ted Lee Dmd is an health care organization with primary practice located at 572 Pleasant St. , Malden MA 02148. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty.
Boston Family Dental Llc can be contacted via phone (781) 397-8876, or through Lee, Ted via phone (781) 397-8876.
Contact Information
Primary practice address
572 Pleasant St.
Malden MA 02148
Phone: (781) 397-8876
Fax: (781) 324-7166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 16528 | Massachusetts |
| Dental Providers / Periodontics | 1223P0300X | 18893 | Massachusetts |
Profile Details
| NPI number | 1801962618 |
|---|---|
| LBN Legal business name | Boston Family Dental Llc |
| DBA Doing business as | Ted Lee Dmd |
| Authorized official | Lee, Ted Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jan 21st, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801962618 | NPPES |
| Massachusetts | Other | 611 | DELTA |
| Massachusetts | MEDICAID | 8587166 | DELTA |
| Massachusetts | Other | X11902LE | DELTA |
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