Dr. Lee W Thach is a Everett, Massachusetts based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Lee W Thach is
19582 for Pediatric Dentistry in Massachusetts. His current practice location is
186 Elm St, Everett. Patients can reach him at
617-389-2112.
Dr. Lee W Thach provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Lee W Thach speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Lee W Thach |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 186 Elm St, Everett,
Massachusetts, 02149-5222 |
| Phone: | 617-389-2112 |
| Fax: | 617-389-5885 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1407824741 |
| NPI Enumeration Date: | 11 Mar, 2006 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lee W Thach are as mentioned below.
| License Number | Specialization | State | Status | |
| 19582 | Pediatric Dentistry | Massachusetts | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lee W Thach such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0203220 | Medicaid | Massachusetts | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 186 Elm St,
Everett, Massachusetts |
| Zip: | 02149-5222 |
| Phone Number: | 617-389-2112 |
| Fax Number: | 617-389-5885 |
Patients can reach Dr. Lee W Thach at
186 Elm St, Everett, Massachusetts or can
call to book an appointment on 617-389-2112.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.