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Deactivated NPI 1013101740 Deactivated / Inactive NPI Male Practitioner

Dr. Peter W Lee , DDS

Dentist - General Practice • Brookline, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Lee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 06, 2007
NPI Deactivation Date October 15, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Lee, DDS was a registered Dentist - General Practice practicing in Brookline, MA. Throughout an active medical career spanning 14 years, Dr. Lee provided care at the practice location at 1368 BEACON ST until profile deactivation on 2021-10-15.

Practice Location & Contact Primary Location

Practice Address

1368 Beacon St
Suite 105

Brookline, MA 024462872

Telephone 6172323995
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brookline, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
70 Specialists

Practicing in Brookline, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA 17966

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1376711366

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 15, 2021

Record deactivated on October 15, 2021

NPI Profile Active September 06, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 06, 2007

Registered at 1368 BEACON ST, SUITE 105, BROOKLINE, MA 024462872 (Tel: 6172323995)

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Updated Business Mailing Address September 06, 2007

Registered at 1368 BEACON ST, SUITE 105, BROOKLINE, MA 024462872 (Tel: 6172323995)

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Provider Name / Credentials Updated September 06, 2007

Recorded as PETER LEE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2007

Dentist (License #17966 in MA)

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Initial NPI Registration & Enumeration September 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013101740
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2007
Last Update: September 06, 2007
Deactivation Date: October 15, 2021

Mailing Address

1368 Beacon St, Suite 105

Brookline, MA 024462872

Phone: 6172323995

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.