Wellington Circle Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20719 Issued in MA

Legal business name

WELLINGTON CIRCLE DENTAL PC

Practice address

616 Fellsway Ste 2
Medford, MA 02155-4957

Phone

(781) 306-9644

Fax

(781) 306-9726

NPI assigned

Jun 25, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jungwoo Lee, DMD

Title

President

Phone

(617) 308-9633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1568690808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 FELLSWAY STE 2",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554957",
            "telephone_number": "781-306-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 FELLSWAY STE 2",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554957",
            "telephone_number": "781-306-9644",
            "fax_number": "781-306-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON CIRCLE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUNGWOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-308-9633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Abdalla Altom Wedat Alla
• Eileen Wegener, MD
• Robert S Weinstein, MD
• Steven Weinstein, L.M.H.C.,L.M.F.T.
• Wellington Circle Dental PC
• Kristie-Lee Wendler, COTA/L
• Tracey Weng, OD
• Westbridge Inc
• Josef R. Wexler, PH.D.
• Abby Irene White, MA

• General Practice Dentistry in Medford, MA
• Providers in Medford, 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 25, 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.