PREMIER DENTISTRY LLC NPI 1073200820

NPI Information

  • NPI: 1073200820
  • Provider Name: PREMIER DENTISTRY, LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 348 N PEARL ST
    BROCKTON, MA
    ZIP 02301
  • Phone: (508) 584-6070

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NPI Details

PREMIER DENTISTRY, LLC is a general practice dentist in Brockton, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PREMIER DENTISTRY, LLC NPI is 1073200820. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

348 N PEARL ST
BROCKTON, MA
ZIP 02301-197
Phone: (508) 584-6070

The provider's authorized official is Daniel Dongkyu Lee .
The authorized official title is Manager and has the following contact phone number (617) 519-3557.

The enumeration date for this NPI number is 4/21/2023 and was last updated on 4/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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