Lee, John Hsueh Jen Liao

Lee, John Hsueh Jen Liao is an individual health care provider with primary practice located at 1250 Hancock Street Suite 123, Quincy Centre MA 02169-4339. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is his primary health care specialty. Lee, John Hsueh Jen Liao can be contacted via phone (617) 471-8161.

Contact Information

Primary practice address
1250 Hancock Street Suite 123 Quincy Centre MA 02169-4339
Phone: (617) 471-8161
Fax: (617) 471-8181
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 18489 Massachusetts
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 18489 Massachusetts

Profile Details

NPI number 1649322546
LBN Legal business name Lee, John Hsueh Jen Liao
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649322546 NPPES
Massachusetts Other X11958 BCBS

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