Mansfield Modern Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MANSFIELD MODERN DENTISTRY, PC

Doing business as

Mansfield Modern Dentistry

Practice address

287 School St Ste 120
Mansfield, MA 02048-1850

Phone

(714) 845-8500

NPI assigned

Oct 7, 2019

Organization subpart

No

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

Authorized official

Name

Dr. David Y Lee, DDS

Title

Owner/DDS

Phone

(714) 845-8890

Specialties & licenses 1

Addresses

Other names 1

• Mansfield Modern Dentistry Doing business as

Locations

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1457992828",
    "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": "287 SCHOOL ST STE 120",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481850",
            "telephone_number": "714-845-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "714-845-8890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansfield Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neveen A Makram
• Helen Malone, MED, ATC, CSCS
• Katherine A Mandigo, N.P.
• Deirdre J Manning, PT, DPT
• Mansfield Family Dental, LLC
• Mansfield Periodontics and Dental Implants, PLLC
• Mansfield Physical Therapy & Wellness LLC
• Mansfield Physical Therapy Inc
• Mansfield Public Schools
• Salim A Mansour, OD

• Dentist in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.