Lee, Jack Ssu-Chieh

Lee, Jack Ssu-Chieh is an sole proprietor health care provider with primary practice located at 100 Rivers Edge Dr Unit 421, Medford MA 02155-5460. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lee, Jack Ssu-Chieh can be contacted via phone (617) 953-1824.

Contact Information

Primary practice address
100 Rivers Edge Dr Unit 421 Medford MA 02155-5460
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN1855439 Massachusetts

Profile Details

NPI number 1205157435
LBN Legal business name Lee, Jack Ssu-Chieh
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2010
Last updated Jun 22nd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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