JEONGLEE DMDPC INC (NPI# 1245603836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245603836 |
| Entity Type | Organization |
| Organization Name | JEONGLEE DMDPC INC |
| Practice Address |
452 Pleasant St #110 Malden MA 02148-8117 |
| Practice Telephone | 7813224914 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Authorized Official Name | JEONG SOOK LEE (DENTIST) |
| Authorized Official Telephone | 7813224914 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN1855209 | MA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | JEONGLEE DMDPC INC | 452 Pleasant Street, Malden, MA 02148 |
| Street Address |
452 PLEASANT ST #110 |
| City | MALDEN |
| State | MA |
| Zip Code | 02148-8117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932190717 | Michael Selig Wiedman | Ophthalmology | 452 Pleasant St, Malden, MA 02148-8117 | 2005-11-02 |
| 1841458478 | Nina Lynne Tischer | Counselor | 452 Pleasant St, Malden, MA 02148-8117 | 2008-05-30 |
| 1275664658 | Jacquelyn Brooke Stevens | Internal Medicine | 452 Pleasant St, Office of Michael S. Wiedman, M.d., Malden, MA 02148 | 2007-03-08 |
| 1710996731 | Paul Anthony Dollard | Dentist | 452 Pleasant St, Malden, MA 02148 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
| 1568932192 | Stephanie L Octave | Behavior Technician | 28 Wolcott St, Malden, MA 02148 | 2018-11-27 |
| 1477036549 | Fabienne Odney | Registered Nurse | 41 Alpine St, Malden, MA 02148 | 2018-09-13 |
| 1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
| 1588144505 | Michael William Sage | Physician Assistant | Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 | 2018-08-20 |
| 1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
| 1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
| 1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
| 1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
| 1295258580 | Judith P Phillips | Physician Assistant | 24 Auburn Street, Malden, MA 02148 | 2017-07-19 |
| Find all providers in zip 02148 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867443 | Bahareh Kiabi | Dentist | 66 Devir St Apt 201, Malden, MA 02148-7235 | 2020-10-04 |
| 1457974198 | Shadi Ahmed Elmekkawi | Dentist | 10 Summer St Apt 403, Malden, MA 02148-3927 | 2020-05-27 |
| 1619518941 | Ruoxi Dai | Dentist | 578 Main St Ofc 101, Malden, MA 02148-3900 | 2019-10-08 |
| 1316507882 | Katrina Muth Torres | Dentist | 61 Cleveland St Fl 2, Malden, MA 02148-6225 | 2019-06-17 |
| 1144722794 | Abdul Jabbar Khan | Dentist | 50 Judson St, Malden, MA 02148-7023 | 2018-02-28 |
| 1861804445 | Manpreet Sidhu | Dentist | 157 Pleasant St, 203, Malden, MA 02148-4821 | 2014-05-29 |
| 1437572880 | Yee Yan Chen | Dentist | 145 Exchange St, Malden, MA 02148-2018 | 2014-01-21 |
| 1144657271 | Ala'a Z Makke | Dentist | 8 Island Hill Ave, Aprtment 310, Malden, MA 02148 | 2013-10-03 |
| 1457616799 | David Gregory Hornung | Dentist | 389 Main St Ste 403, Malden, MA 02148-5017 | 2012-07-12 |
| 1194028324 | Mona Alenezi | Dentist | 389 Main St Ste 404, Malden, MA 02148-5017 | 2010-12-09 |
| Find all providers in MALDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.