Organization Active NPI

Samuel Lee DMD PLLC

  • Prosthodontics
  • Hanson, MA
National Provider Identifier
1215719430
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
SAMUEL LEE DMD PLLC
Practice address
604 County Rd
Hanson, MA 02341-1668
Phone
(781) 294-8022
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Dr. Samuel Robert Lee, DMDNPI 1598268039
Title
President
Phone
(407) 375-7176

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

604 County Rd
Hanson, MA 02341-1668

Mailing address

27 Howland St Unit 8
Plymouth, MA 02360-4998

National Provider Directory

National Provider Directory

Locations

604 County Rd
Hanson, MA 02341
Phone (781) 294-8022

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": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1215719430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HOWLAND ST UNIT 8",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 COUNTY RD",
            "city": "HANSON",
            "state": "MA",
            "postal_code": "023411668",
            "telephone_number": "781-294-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL LEE DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-375-7176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanson, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.