NPIMap

Organization Active NPI

Dental Plus, P.C.

  • General Practice Dentistry
  • Worcester, MA
National Provider Identifier
1114262367
Registry record updated Sep 24, 2013
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21597 Issued in MA
Legal business name
DENTAL PLUS, P.C.
Practice address
11 Tobias Boland Way
Unit #105
Worcester, MA 01607-2108
Phone
(508) 752-1111
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joon Lee, D.M.D.
Title
Owner
Phone
(508) 752-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN21597 MA Primary

Addresses

Primary practice location

11 Tobias Boland Way
Unit #105
Worcester, MA 01607-2108

Mailing address

11 Tobias Boland Way
Unit #105
Worcester, MA 01607-2108
Phone (508) 752-1111

National Provider Directory

National Provider Directory

Locations

11 Tobias Boland Way
Unit 105
Worcester, MA 01607
Phone (508) 752-1111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1114262367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TOBIAS BOLAND WAY",
            "address_2": "UNIT #105",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016072108",
            "telephone_number": "508-752-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TOBIAS BOLAND WAY",
            "address_2": "UNIT #105",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016072108",
            "telephone_number": "508-752-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PLUS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-752-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN21597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.