Lee W Thach is a Pediatric Dentistry in Everett, Massachusetts. Lee W Thach practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Lee W Thach is 1407824741. The last update date is 2007-07-09.
Lee W Thach's current location address is 186 Elm St, Everett, Massachusetts. You can contact this provider via phone number 6173892112 and fax number 6173895885. The mailing address for Lee W Thach is 186 Elm St, Everett, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee W Thach |
|---|---|
| Address | 186 Elm St, Everett, Massachusetts |
| Phone Number | 6173892112 |
| Fax Number | 6173895885 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1407824741 |
|---|---|
| Provider Enumeration Date | 2006-03-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 186 Elm St |
|---|---|
| City | Everett |
| State | Massachusetts (MA) |
| Post Code | 21495222 |
| Phone Number | 6173892112 |
| Fax Number | 6173895885 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 19582 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 203220 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lee W Thach by the Centers for Medicare & Medicaid Services?
The Lee W Thach has been issued the NPI (National Provider Identifier) 1407824741 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Lee W Thach's facilities are situated?
The facilities of Lee W Thach are physically located at the following address: 186 Elm St, Everett, MA, 21495222.
What is the Lee W Thach's specialty and taxonomy code?
The Lee W Thach's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407824741 to Lee W Thach?
The Centers for Medicare & Medicaid Services assigned the 1407824741 to Lee W Thach on 2006-03-11.
As of what date were the details pertaining to Lee W Thach last refreshed?
The information related to the Lee W Thach, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
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