Ted Lee Dmd is a Periodontics in Lexington, Massachusetts. Ted Lee Dmd practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Ted Lee Dmd is 1528133675. The last update date is 2020-08-22.
Ted Lee Dmd's current location address is 16 Clarke Street, Lexington, Massachusetts. You can contact this provider via phone number 7818608828 and fax number 7818608829. The mailing address for Ted Lee Dmd is 16 Clarke Street, Lexington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Ted Lee Dmd |
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Address | 16 Clarke Street, Lexington, Massachusetts |
Phone Number | 7818608828 |
Fax Number | 7818608829 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRACTICE M |
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Authorized Official Name | Lee T Lynn |
Telephone Number | 7814058356 |
NPI Number Detail
NPI Number | 1528133675 |
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Provider Enumeration Date | 2006-11-22 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 16 Clarke Street |
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City | Lexington |
State | Massachusetts (MA) |
Post Code | 2421 |
Phone Number | 7818608828 |
Fax Number | 7818608829 |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 18893 |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
X12146 | MA | BCBS MA | |
611 | MA | DELTA MA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ted Lee Dmd by the Centers for Medicare & Medicaid Services?
The Ted Lee Dmd has been assigned the NPI (National Provider Identifier) 1528133675 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Ted Lee Dmd's physical address?
The Ted Lee Dmd is physically located at 16 Clarke Street, in the city of Lexington, MA, with the postal code 2421.
What is the area of specialization for Ted Lee Dmd, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ted Lee Dmd is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date did Ted Lee Dmd receive its 1528133675 assignment from the Centers for Medicare & Medicaid Services?
The Ted Lee Dmd was assigned its 1528133675 on 2006-11-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ted Lee Dmd most recently updated or revised?
The information pertaining to Ted Lee Dmd, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.