Lee, Sang Jin
Lee, Sang Jin is an sole proprietor health care provider with primary practice located at 344 Main Street , Hyannis MA 02601. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lee, Sang Jin can be contacted via phone (508) 771-7751.Contact Information
Primary practice address
344 Main Street
Hyannis MA 02601
Phone: (508) 771-7751
Fax: (508) 815-4345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 21084 | Massachusetts |
Profile Details
| NPI number | 1952638017 |
|---|---|
| LBN Legal business name | Lee, Sang Jin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2009 |
| Last updated | Nov 11th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952638017 | NPPES |
| Massachusetts | MEDICAID | 0206949 |
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