BOSTON TMJ AND OROFACIAL PAIN
NPI 1396581096
Dentist - Orofacial Pain in Brookline, MA

Q: What is Soo Jin Lee, Dmd, PLLC's NPI number?

The NPI number for Soo Jin Lee, Dmd, PLLC is 1396581096. It was assigned to this organization in the NPPES registry on July 2, 2024. The provider is doing business as Boston Tmj And Orofacial Pain.

Q: What is Soo Jin Lee, Dmd, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Active since July 02, 2024

1318 BEACON ST STE 1, BROOKLINE, MA 02446(857) 858-0246(857) 858-0345 Get Directions Write a Review

NPPES record last updated: November 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 9, 2024, Jul 2, 2024 (2 updates tracked since 2024).

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About Boston Tmj And Orofacial Pain NPPES

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

BOSTON TMJ AND OROFACIAL PAIN (NPI 1396581096) is a healthcare organization registered as an orofacial pain in Brookline, Massachusetts and active in the NPI registry since July 2024. The organization lists Soo Jin Lee, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1396581096

Entity TypeOrganization

Primary Taxonomy1223X2210X

Legal Business NameSOO JIN LEE, DMD, PLLC

Location Address1318 BEACON ST STE 1Brookline, MA 02446

Mailing Address1443 Beacon St Apt 706Brookline, MA 02446-4712 · (678) 677-1578

Phone(857) 858-0246

Fax(857) 858-0345

Organization SubpartNo

Authorized OfficialSoo Jin LeePractice Owner · (857) 858-0246

Enumeration DateJuly 2, 2024

Last NPPES UpdateNovember 9, 20242 updates tracked since enumeration

NPPES CertifiedNovember 9, 2024

✔ NPI 1396581096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orofacial PainDental Providers

Taxonomy Code1223X2210X

Definition

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.

1318 BEACON ST STE 1, Brookline, MA 02446

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Other Names 1

Doing Business AsBoston Tmj And Orofacial Pain

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boston Tmj And Orofacial Pain is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Boston Tmj And Orofacial Pain, which bills Medicare for the services this clinician delivers.

Clinician (1)

Soo Jin Lee, DMD

Orofacial Pain

NPI 1518451103

1318 BEACON ST STE 1
Brookline, MA 02446

(857) 858-0246

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Soo Jin Lee, Dmd, PLLC's NPI number?

The NPI number for Soo Jin Lee, Dmd, PLLC is 1396581096. It was assigned to this organization in the NPPES registry on July 2, 2024. The provider is doing business as Boston Tmj And Orofacial Pain.

Where is Soo Jin Lee, Dmd, PLLC located?

Soo Jin Lee, Dmd, PLLC is located at 1318 Beacon St Ste 1, Brookline, MA 02446. The listed phone number is (857) 858-0246.

What is Soo Jin Lee, Dmd, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Soo Jin Lee, Dmd, PLLC enrolled in Medicare?

Yes. Soo Jin Lee, Dmd, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Soo Jin Lee, Dmd, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orofacial Pain) reassigns their Medicare billing to Soo Jin Lee, Dmd, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Soo Jin Lee, Dmd, PLLC was last updated on November 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.