Prime Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21084 Issued in MA

Legal business name

PRIME DENTAL INC

Practice address

3112 Cranberry Hwy
East Wareham, MA 02538-4804

Phone

(508) 771-7753

Fax

(508) 771-7753

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sang J Lee, DMDNPI 1952638017

Title

Owner

Phone

(508) 771-7751

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sang Jin Lee, D.M.D

  • Dentist
  • Hyannis, MA
  • NPI 1952638017
  Authorized official Same address or phone

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1447486600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 CRANBERRY HWY",
            "city": "EAST WAREHAM",
            "state": "MA",
            "postal_code": "025384804",
            "telephone_number": "508-771-7751",
            "fax_number": "508-771-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 CRANBERRY HWY",
            "city": "EAST WAREHAM",
            "state": "MA",
            "postal_code": "025384804",
            "telephone_number": "508-771-7753",
            "fax_number": "508-771-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-771-7751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Nee
• Nerea O'Neil, CMI
• Jennifer Ohlson, BA, LADC II
• Physiotherapy Associates Inc
• Heather Pomfret-Veilleux, PT
• Karen Quarella
• Josephine Patricia Reese, APRN
• Brittany Rose Robinson
• Jessica Nicole Sellars, MS
• Juliana Shea

• General Practice Dentistry in East Wareham, MA
• Providers in East Wareham, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.