Organization Active NPI

Westborough Modern Dentistry, PC

  • Dentist
  • Westborough, MA
National Provider Identifier
1013470897
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Apr 9, 2019

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.