Canton Modern Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CANTON MODERN DENTISTRY, PC

Practice address

95 Washington St Ste 222
Canton, MA 02021-4009

Phone

(781) 451-3150

Fax

(781) 451-3240

NPI assigned

May 6, 2022

Organization subpart

No

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

Authorized official

Name

David Y. Lee, DDS

Title

Owner Doctor

Phone

(781) 451-3150

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Kevin Kim, D.M.D., PH.D.

  • Dentist
  • Canton, MA
  • NPI 1407598600
  NPD
• Jin Young Yoo

  • Dentist
  • Canton, MA
  • NPI 1508566118
  NPD

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1932845641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST STE 222",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214009",
            "telephone_number": "781-451-3150",
            "fax_number": "781-451-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "781-451-3150",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canton Adh LLC
• Canton Dale Chiropractic, Inc.
• Canton Dental Group
• Canton Dermatology Clinic, Inc
• Canton Family Dental PLLC
• Canton Nursing LLC
• Canton Podaitry Associates
• Cape Medical Supply, Inc.
• Melissa Renee Capps, R.D., L.D.N.
• Care Promotion PC

• All providers in Canton, MA
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.