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Active NPI 1770830622 Individual Practitioner Male Practitioner

Dr. Jaeseop Lee , DMD

Dentist - General Practice • Wilmington, MA

Professional Overview & Biography Verified Profile Summary

Dr. Jaeseop Lee, DMD is a registered healthcare professional specializing in Dentist - General Practice in Wilmington, MA. Practice services are available at 211 LOWELL ST UNIT K under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

211 Lowell St Unit K

Wilmington, MA 018873014

Telephone 9786574550
Fax 9786575828
Associated Practice Facility / Clinic
🏢 Happy Sunny Dental, Llc Facility NPI 1083199871

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wilmington, MA

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

Practicing in Wilmington, 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 DN1856715

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NH 03927

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
Dr. Paul Caselle , DDS

Dentist - General Practice

NPI 1952390403

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 27, 2018

Registered at 211 LOWELL ST UNIT K, WILMINGTON, MA 018873014 (Tel: 9786574550)

📍
Updated Business Mailing Address September 27, 2018

Registered at 25 LORING ST, BELMONT, MA 024784714 (Tel: 6173082805)

👤
Provider Name / Credentials Updated September 27, 2018

Recorded as JAESEOP LEE, DMD

NPI Profile Active August 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2012

Registered at 14 LOUDON RD, CONCORD, NH 033015344 (Tel: 6033696996)

📍
Updated Business Mailing Address August 09, 2012

Registered at 860 HARRISON AVE, APT 607, BOSTON, MA 021184002 (Tel: 6173082805)

👤
Provider Name / Credentials Updated August 09, 2012

Recorded as JAESEOP LEE, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2012

Dentist (License #03927 in NH)

🟢
Initial NPI Registration & Enumeration August 09, 2012

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: 1770830622
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2012
Last Update: September 27, 2018
Sole Proprietor: Yes

Mailing Address

25 Loring St

Belmont, MA 024784714

Phone: 6173082805

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.