CROWNING MOMENT LLC NPI 1881024545

NPI Information

  • NPI: 1881024545
  • Provider Name: CROWNING MOMENT LLC
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Doing Business As: BLUE HILLS DENTAL ASSOCIATES
  • Address: 340 WOOD RD
    SUITE 288
    BRAINTREE, MA
    ZIP 02184
  • Phone: (617) 953-1824

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NPI Details

CROWNING MOMENT LLC is a preferred provider organization in Braintree, MA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. CROWNING MOMENT LLC NPI is 1881024545. The provider is registered as an organization entity type.
The provider Is Doing Business As Blue Hills Dental Associates.

The provider's business location address is:

340 WOOD RD
SUITE 288
BRAINTREE, MA
ZIP 02184-401
Phone: (617) 953-1824

The provider's authorized official is Jack Ssu-chieh Lee .
The authorized official title is Owner and has the following contact phone number (617) 953-1824.

The enumeration date for this NPI number is 11/16/2013 and was last updated on 11/16/2013.

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
1305R00000XPreferred Provider OrganizationDN1855439MASSACHUSETTSYes

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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