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DR. JACK SSU-CHIEH LEE D.M.D.
NPI 1205157435
Dentist in Medford, MA

Active since June 22, 2010
100 RIVERS EDGE DR, UNIT 421, MEDFORD, MA 02155(617) 953-1824 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Jack Ssu-chieh Lee D.m.d. NPPES

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

DR. JACK SSU-CHIEH LEE D.M.D. (NPI 1205157435) is an individual dentist in Medford, Massachusetts, licensed in Massachusetts (DN1855439) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1205157435
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACK SSU-CHIEH LEECredential: D.M.D.
Location Address100 RIVERS EDGE DR, UNIT 421Medford, MA 02155-5460
Mailing Address100 Rivers Edge Dr, Unit 421Medford, MA 02155-5460 · (617) 953-1824
Phone(617) 953-1824
Sole ProprietorYes
Enumeration DateJune 22, 2010
✔ NPI 1205157435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · DN1855439
Definition
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.
100 RIVERS EDGE DR, Medford, MA 02155
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

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 Jack Ssu-chieh Lee's NPI number?

The NPI number for Jack Ssu-chieh Lee is 1205157435. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Jack Ssu-chieh Lee located?

Jack Ssu-chieh Lee practices at 100 Rivers Edge Dr Unit 421, Medford, MA 02155. The listed phone number is (617) 953-1824.

What is Jack Ssu-chieh Lee's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jack Ssu-chieh Lee accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Jack Ssu-chieh Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Ssu-chieh Lee was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.