WEST ROXBURY MODERN DENTISTRY, PC
NPI 1073299137
Dentist - General Practice in West Roxbury, MA

Active since June 23, 2023
75 SPRING ST STE 100A, WEST ROXBURY, MA 02132(857) 353-5103(957) 264-2506 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Roxbury Modern Dentistry, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST ROXBURY MODERN DENTISTRY, PC (NPI 1073299137), doing business as West Roxbury Modern Dentistry, is a healthcare organization registered as a general practice in West Roxbury, Massachusetts and active in the NPI registry since June 2023. The organization lists Frederick Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1073299137
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWEST ROXBURY MODERN DENTISTRY, PC
Location Address75 SPRING ST STE 100AWest Roxbury, MA 02132-4335
Mailing AddressPo Box 920050Dallas, TX 75392-0050
Fax(957) 264-2506
Organization SubpartNo
Authorized OfficialFrederick LeeOwner · (857) 353-5103
Enumeration DateJune 23, 2023
NPPES CertifiedJune 23, 2023
NPI 1073299137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
75 SPRING ST STE 100A, West Roxbury, MA 02132

Other Names 1

Doing Business AsWest Roxbury Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Roxbury Modern Dentistry, PC's NPI number?

The NPI number for West Roxbury Modern Dentistry, PC is 1073299137. It was assigned to this organization in the NPPES registry on June 23, 2023. The provider is doing business as West Roxbury Modern Dentistry.

Where is West Roxbury Modern Dentistry, PC located?

West Roxbury Modern Dentistry, PC is located at 75 Spring St Ste 100A, West Roxbury, MA 02132. The listed phone number is (857) 353-5103.

What is West Roxbury Modern Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for West Roxbury Modern Dentistry, PC was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.