IndividualActive
Chang Joo Lee, DMD
NPI 1386138170 · Pediatric Dentistry · Derry, NH
Provider details
- NPI number
- 1386138170
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN1859075 (MA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
4 Manchester Ave
Derry, NH 03038-1931
Phone: (603) 434-1586
Approximate (ZIP-level) locationGet directions
Mailing address
4 Manchester Ave
Derry, NH 03038-1931
Additional practice locations (1)
- 1 Kneeland StBoston, MA 02111-1527Phone: (617) 636-6971
Registry dates
- Enumerated
- 2018-06-15
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.