United Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

21084 Issued in MA

Legal business name

UNITED DENTAL INC

Practice address

131 Merrimack St
Lowell, MA 01852-1723

Phone

(508) 743-7888

Fax

(888) 594-4555

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Sang Jin Lee, D.M.D

Title

Owner

Phone

(508) 743-7888

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Sang Hoon John Han, D.D.S.

  • Dentist
  • East Wareham, MA
  • NPI 1003256314
  NPD (past)
• Fernanda Vargas Valle, DMD

  • General Practice Dentistry
  • East Wareham, MA
  • NPI 1437824232
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1912439357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 CRANBERRY HWY",
            "address_2": "UNIT A",
            "city": "EAST WAREHAM",
            "state": "MA",
            "postal_code": "025384810",
            "telephone_number": "508-743-7888",
            "fax_number": "888-594-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521723",
            "telephone_number": "508-743-7888",
            "fax_number": "888-594-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "JIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-743-7888",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "21084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206946",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Twum
• Emily Ann Tyler, M.S. SLP
• Uhs of Westwood Pembroke
• Riza Ulker
• Sophea Um
• University of Massachusetts Lowell
• Schnea Urey
• Evi Anne Uwusiaba
• Mirelys Vacca
• Denise J Vachon, LPN

• Dental Clinic/Center in Lowell, MA
• Providers in Lowell, 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 Apr 3, 2017; 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.