Individual provider Active NPI

Chung Lee, DMD

  • General Practice Dentistry
  • Worcester, MA
National Provider Identifier
1639510258
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856295 Issued in MA
Practice address
617 Mill St
Worcester, MA 01602-1775
Phone
(508) 756-0358
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1856295 MA Primary

Addresses

Primary practice location

617 Mill St
Worcester, MA 01602-1775

Mailing address

617 Mill St
Worcester, MA 01602-1775
Phone (508) 756-0358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170105000151 MA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6901187939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tatnuck Family Dental Care PLLC Current Accepting new patients
Hudson Family Dental PLLC PastSince Nov 7, 2025 Accepting new patients
Hudson Family Dental PC General Practice Past Accepting new patients

Locations

617 Mill St
Worcester, MA 01602
Phone (508) 304-0052

111 Elm St
Ste 101
Worcester, MA 01609
Phone (508) 799-4626

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1639510258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 MILL ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016021775",
            "telephone_number": "508-756-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 MILL ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016021775",
            "telephone_number": "508-756-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHUNG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.