Active NPI
Westborough Modern Dentistry, PC
- Dentist
- Westborough, MA
National Provider Identifier
1013470897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- WESTBOROUGH MODERN DENTISTRY, PC
- Practice address
- 1 Oak St Ste 2
Westborough, MA 01581-2655 - Phone
- (508) 329-8564
- NPI assigned
- Apr 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frederick H. Lee, DMD
- Title
- Owner/DMD
- Phone
- (508) 329-8564
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1 Oak St Ste 2
Westborough, MA 01581-2655
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Other names 1
- Westborough Modern Dentistry
National Provider Directory
National Provider DirectoryLocations
1 Oak St
Ste 2
Westborough, MA 01581
Phone (508) 329-8564
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Slidell, LA
- NPI 1326606104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554768000000",
"number": "1013470897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17000 RED HILL AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 OAK ST STE 2",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015812655",
"telephone_number": "508-329-8564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTBOROUGH MODERN DENTISTRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "FREDERICK",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "OWNER/DMD",
"authorized_official_telephone_number": "508-329-8564",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Westborough Modern Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.