Procare Dental Inc

LBN: Procare Dental Inc
Procare Dental Inc is an health care organization with primary practice located at 51 Mill St Suite 4, Hanover MA 02339-1641. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Procare Dental Inc can be contacted via phone (508) 743-7888, or through Lee, Sang Jin via phone (508) 743-7888.

Contact Information

Primary practice address
51 Mill St Suite 4 Hanover MA 02339-1641
Phone: (508) 743-7888
Fax: (888) 594-4595
Website:
Map and Directions
Authorized official contact:
Name: Lee, Sang Jin Doctor of Dental Medicine (DMD)
Phone: (508) 743-7888

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 21084 Massachusetts

Profile Details

NPI number 1588947428
LBN Legal business name Procare Dental Inc
DBA Doing business as
Authorized official Lee, Sang Jin Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2011
Last updated Oct 7th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588947428 NPPES
Massachusetts MEDICAID 9762540

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