Active NPI
Lee and Yang DDS, PLLC
Doing business as Southbridge Dental Care
- General Practice Dentistry
- Southbridge, MA
National Provider Identifier
1871252726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LEE AND YANG DDS, PLLC
- Doing business as
- Southbridge Dental Care
- Practice address
- 44 Everett St
Southbridge, MA 01550-2620 - Phone
- (508) 764-4600
- NPI assigned
- Dec 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yoon Seon Yang
- Title
- DDS
- Phone
- (484) 844-2412
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
44 Everett St
Southbridge, MA 01550-2620
Mailing address
14424 Avalon Dr
Northborough, MA 01532-2179
Other names 1
- Southbridge Dental Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Dentist
- Worcester, MA
- NPI 1306336201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638921600000",
"number": "1871252726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14424 AVALON DR",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015322179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 EVERETT ST",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015502620",
"telephone_number": "508-764-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE AND YANG DDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-08",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "YOON SEON",
"authorized_official_title_or_position": "DDS",
"authorized_official_telephone_number": "484-844-2412"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southbridge Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.