Quincy Pediatric Dental, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

18806 Issued in MA

Legal business name

QUINCY PEDIATRIC DENTAL, P.C.

Practice address

111 Willard St
Suite 2D
Quincy, MA 02169-1200

Phone

(617) 471-2184

Fax

(617) 471-2185

NPI assigned

Jul 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian B Lee, D.M.D.NPI 1497789986

Title

President

Phone

(617) 471-2184

Specialties & licenses 1

Addresses

Locations

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.

• Brian B Lee, D.M.D.

  • Pediatric Dentistry
  • Quincy, MA
  • NPI 1497789986
  NPD (past) Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972533107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WILLARD ST",
            "address_2": "SUITE 2D",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691200",
            "telephone_number": "617-471-2184",
            "fax_number": "617-471-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WILLARD ST",
            "address_2": "SUITE 2D",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021691200",
            "telephone_number": "617-471-2184",
            "fax_number": "617-471-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY PEDIATRIC DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-471-2184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "18806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quincy Medical Center
• Quincy Medical Center, a Steward Family Hospital Inc
• Quincy Medical Center, a Steward Family Hospital, Inc.
• Quincy Medical Center, a Steward Family Hospital, Inc. (Quincy Medical Center)
• Quincy Pediatric Associates Inc
• Quincy Physician Corporation
• Quincy Primary Healthcare PC
• Quincy Psychiatric Associates, Inc
• Quincy Surgical Associates, Inc
• Gillian R Quinn

• Pediatric Dentistry in Quincy, MA
• Providers in Quincy, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.