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Active NPI 1205157435 Individual Practitioner Male Practitioner

Dr. Jack Ssu-Chieh Lee , DMD

Dentist • Medford, MA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Ssu-Chieh Lee, DMD is a registered healthcare professional specializing in Dentist in Medford, MA. Practice services are available at 100 RIVERS EDGE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Rivers Edge Dr
Unit 421

Medford, MA 021555460

Telephone 6179531824
Associated Practice Facility / Clinic
🏢 Crowning Moment Llc Facility NPI 1881024545

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Medford, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
22 Specialists

Practicing in Medford, MA (3030 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MA DN1855439

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 22, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2010

Registered at 100 RIVERS EDGE DR, UNIT 421, MEDFORD, MA 021555460 (Tel: 6179531824)

📍
Updated Business Mailing Address June 22, 2010

Registered at 100 RIVERS EDGE DR, UNIT 421, MEDFORD, MA 021555460 (Tel: 6179531824)

👤
Provider Name / Credentials Updated June 22, 2010

Recorded as JACK SSU-CHIEH LEE, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2010

Dentist (License #DN1855439 in MA)

🟢
Initial NPI Registration & Enumeration June 22, 2010

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: 1205157435
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2010
Last Update: June 22, 2010
Sole Proprietor: Yes

Mailing Address

100 Rivers Edge Dr, Unit 421

Medford, MA 021555460

Phone: 6179531824

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.