Woburn Smiles PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WOBURN SMILES PC

Doing business as

Prime Dental

Practice address

405 Main St Ste 2B
Woburn, MA 01801-5466

Phone

(781) 726-7788

Fax

(888) 594-4555

NPI assigned

Jun 9, 2021

Last updated

Jun 9, 2021By 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

Sang Jin Lee, DMD

Title

Dentist/Owner

Phone

(781) 726-7788

Specialties & licenses 1

Addresses

Other names 1

• Prime Dental Doing business as

Locations

Practitioners 2

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.

• Fernanda Vargas Valle, DMD

  • General Practice Dentistry
  • East Wareham, MA
  • NPI 1437824232
  NPD
• Sang Hoon John Han, D.D.S.

  • Dentist
  • East Wareham, MA
  • NPI 1003256314
  NPD (past)

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1518534353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 CRANBERRY HWY UNIT A",
            "city": "EAST WAREHAM",
            "state": "MA",
            "postal_code": "025384810",
            "telephone_number": "508-743-7888",
            "fax_number": "888-594-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MAIN ST STE 2B",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018015466",
            "telephone_number": "781-726-7788",
            "fax_number": "888-594-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOBURN SMILES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "JIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "781-726-7788",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Woburn Nursing Center, Inc
• Woburn Pediatric Associates (North Andover Pediatric Associates)
• Woburn Pediatric Psychological Services PLLC
• Woburn Physical Therapy, Inc (Physical Therapy of Woburn)
• Woburn Public Schools
• Woburn Vein Clinic LLC
• Raymond Wolf, PTA
• Lindsey Marie Wolfe, PT
• Julie Wolfman Wong
• Adrienne Marie Wood, MS OTR/L

• Dental Clinic/Center in Woburn, MA
• Providers in Woburn, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.