Family Dental and Implant Center PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FAMILY DENTAL AND IMPLANT CENTER PC

Doing business as

Hanson Family Dental

Practice address

604 County Rd
Hanson, MA 02341-1668

Phone

(781) 294-8022

NPI assigned

Jul 19, 2023

Last updated

Oct 21, 2023By 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. Samuel Robert Lee, DMD

Title

President

Phone

(407) 375-7176

Specialties & licenses 1

Addresses

Other names 1

• Hanson Family Dental Doing business as

Locations

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697846400000",
    "number": "1811677511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HOWLAND ST UNIT 8",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604998",
            "telephone_number": "413-335-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 COUNTY RD",
            "city": "HANSON",
            "state": "MA",
            "postal_code": "023411668",
            "telephone_number": "781-294-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL AND IMPLANT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-10-21",
        "certification_date": "2023-10-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-375-7176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanson Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hanson Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CVS Pharmacy Inc (CVS Pharmacy # 01249)
• Elicia Deparolesa, PHARMD
• Teresa Devlin, MSW, LICSW
• Elyssa Pettepit Dorsey, BCBA, LABA
• Jamie Edgerly
• Michelle Frawley
• Emily Elizabeth Fredrickson, RN, CPNP-PC
• Alison Tracey Freeman, DMD
• Brooke Fresina
• Amy Gavin, BCBA

• General Practice Dentistry in Hanson, MA
• Providers in Hanson, 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 Oct 21, 2023; 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.