Individual provider · Type 1 NPI

Chang Joo Lee, DMD

Pediatric Dentistry · Derry, NH

NPI number 1386138170 Active

Practice location

4 Manchester Ave
Derry, NH 03038-1931

Other practice locations

  • 1 Kneeland St, Boston, MA 02111-1527 · (617) 636-6971

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDN1859075 (MA)
General Practice Dentistry 1223G0001X34251 (TX)
Pediatric Dentistry Primary 1223P0221X05134 (NH)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

14 other providers at this address

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About NPI 1386138170

Chang Joo Lee, DMD's National Provider Identifier is 1386138170, issued on Jun 15, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Derry, NH. The record was last updated on Sep 12, 2024.