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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.