NPIMap

Organization Active NPI

Magnolia Dentistry, LLC

  • Dental Clinic/Center
  • North Andover, MA
National Provider Identifier
1831691906
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN1856612 Issued in MA
Legal business name
MAGNOLIA DENTISTRY, LLC
Practice address
70 Main St Ste 100
North Andover, MA 01845-2427
Phone
(617) 959-4943
NPI assigned
Mar 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Dr. Yunji Lee, DMDNPI 1568862589
Title
Member
Phone
(617) 959-4943

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN1856612 MA Primary

Addresses

Primary practice location

70 Main St Ste 100
North Andover, MA 01845-2427

Mailing address

70 Main St Ste 100
North Andover, MA 01845-2587
Phone (978) 965-4315

National Provider Directory

National Provider Directory

Locations

70 Main St
Ste 100
North Andover, MA 01845
Phone (617) 959-4943

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1831691906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAIN ST STE 100",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452587",
            "telephone_number": "978-965-4315",
            "fax_number": "978-965-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST STE 100",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452427",
            "telephone_number": "617-959-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YUNJI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "617-959-4943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN1856612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.