J. Gina Lee, DDS, MDS, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

8083 Issued in NC

Legal business name

J. GINA LEE, DDS, MDS, PA

Practice address

10411 Moncreiffe Rd
Suite 105a
Raleigh, NC 27617-7819

Phone

(919) 544-9700

Fax

(919) 544-9002

NPI assigned

Jan 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. J. Gina Lee, DDS, MDS

Title

President

Phone

(919) 544-9700

Specialties & licenses 1

Addresses

Other names 1

• Brier Creek Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina J Lee, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Raleigh, NC
  • NPI 1851412803
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1023294683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 MONCREIFFE RD",
            "address_2": "SUITE 105A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177819",
            "telephone_number": "919-544-9700",
            "fax_number": "919-544-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10411 MONCREIFFE RD",
            "address_2": "SUITE 105A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177819",
            "telephone_number": "919-544-9700",
            "fax_number": "919-544-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. GINA LEE, DDS, MDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "J. GINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-544-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "8083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brier Creek Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Susanna Izzi, LAT, ATC
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• J Z Wang Psychiatic Service P C
• J. Christian Sheaffer DDS. PLLC
• J.B. Childers, MD, PLLC
• J.G. Sparrow Behavioral Health Services
• J'S 42ND Trend Hair Restoration Stu
• J&M Advisors
• J&P Saucier PLLC

• Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.