Cape Cod Smiles PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CAPE COD SMILES PC

Practice address

17 School St
Hyannis, MA 02601-3117

Phone

(508) 837-6788

Fax

(888) 594-4555

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Sang J Lee, DMD

Title

Owner

Phone

(508) 837-6788

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cape Cod Smiles PC Doing business as

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1902449945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SCHOOL ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013117",
            "telephone_number": "508-837-6788",
            "fax_number": "888-594-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SCHOOL ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013117",
            "telephone_number": "508-837-6788",
            "fax_number": "888-594-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE COD SMILES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-837-6788",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952638017",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Cod Smiles PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cape Cod Pathology Consultants, P.C.
• Cape Cod Pediatric Dentistry, Inc.
• Cape Cod Pharmacy & Health
• Cape Cod Pharmacy & Health LLC
• Cape Cod Plastic Surgery Inc
• Cape Cod Surgical Associates Inc
• Cape Holistic Health, LLC
• Cape Opticians Inc.
• Capeabilities
• Capeside Oral&Facial Surgery,Inc.

• Dental Clinic/Center in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.