NPIMap

Organization Active NPI

Cslee, DMD,MMSC,PLLC

  • Dentist
  • Bridgewater, MA
National Provider Identifier
1164714481
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18866 Issued in MA
Legal business name
CSLEE, DMD,MMSC,PLLC
Doing business as
OMNIDENTIX
Practice address
555 Bedford St
Unit 3
Bridgewater, MA 02324
Phone
(508) 807-4736
Fax
(508) 807-4743
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Dr. Chong S Lee, DMDNPI 1811073521
Title
Owner
Phone
(508) 807-4736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18866 MA Primary

Addresses

Primary practice location

555 Bedford St
Unit 3
Bridgewater, MA 02324

Mailing address

555 Bedford St
Unit 3
Bridgewater, MA 02324
Phone (508) 807-4736

Other names 1

  • OMNIDENTIX Doing business as

National Provider Directory

National Provider Directory

Locations

555 Bedford St
Ste 3
Bridgewater, MA 02324
Phone (508) 807-4736

172 N Dartmouth Mall
North Dartmouth, MA 02747
Phone (508) 996-3360

Practitioners & affiliated clinicians

Practitioners 4

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": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1164714481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BEDFORD ST",
            "address_2": "UNIT 3",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "02324",
            "telephone_number": "508-807-4736",
            "fax_number": "508-807-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BEDFORD ST",
            "address_2": "UNIT 3",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "02324",
            "telephone_number": "508-807-4736",
            "fax_number": "508-807-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSLEE, DMD,MMSC,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHONG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-807-4736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "18866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNIDENTIX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OMNIDENTIX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.