DR. CHANG JOO LEE DMD
NPI 1386138170
Dentist - Pediatric Dentistry in Derry, NH

Active since June 15, 2018
4 MANCHESTER AVE, DERRY, NH 03038(603) 434-1586 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2024, Nov 18, 2021, Jun 15, 2018 (3 updates tracked since 2018).

About Dr. Chang Joo Lee Dmd NPPES

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

DR. CHANG JOO LEE DMD (NPI 1386138170) is an individual pediatric dentistry provider in Derry, New Hampshire, licensed in New Hampshire (05134) and active in the NPI registry since June 2018. He maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1386138170
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. CHANG JOO LEECredential: DMD
Location Address4 MANCHESTER AVEDerry, NH 03038-1931
Mailing Address4 Manchester AveDerry, NH 03038-1931 · (603) 434-1586
Sole ProprietorYes
Enumeration DateJune 15, 2018
Last NPPES UpdateSeptember 12, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
NPI 1386138170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NH · 05134
Definition
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.
Also ListedDentistTaxonomy 122300000X · License DN1859075 (MA)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 34251 (TX)
4 MANCHESTER AVE, Derry, NH 03038

Secondary Practice Location 1

Location 11 Kneeland StBoston, MA 02111-1527 · Phone (617) 636-6971

Accepted Insurance

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4 MANCHESTER AVE
DERRY, NH 03038
Dentist (Pediatric Dentistry)
4 MANCHESTER AVE
DERRY, NH 03038
Dentist
4 MANCHESTER AVE
DERRY, NH 03038
Dentist (General Practice)
4 MANCHESTER AVE
DERRY, NH 03038
Dentist (Pediatric Dentistry)
4 MANCHESTER AVE
DERRY, NH 03038
Dentist (Pediatric Dentistry)
4 MANCHESTER AVE
DERRY, NH 03038
Dentist (Pediatric Dentistry)
4 MANCHESTER AVE
DERRY, NH 03038
Dentist (Pediatric Dentistry)
4 MANCHESTER AVE
DERRY, NH 03038

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 Chang Joo Lee's NPI number?

The NPI number for Chang Joo Lee is 1386138170. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Chang Joo Lee located?

Chang Joo Lee practices at 4 Manchester Ave, Derry, NH 03038. The listed phone number is (603) 434-1586.

What is Chang Joo Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Chang Joo Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian and 3 other insurers list Chang Joo 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 Chang Joo Lee was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.