Organization Active NPI

Lee and Yang DDS, PLLC

Doing business as Southbridge Dental Care

  • General Practice Dentistry
  • Southbridge, MA
National Provider Identifier
1871252726
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Yoon Seon YangNPI 1306336201
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.