Colleen Lee, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.026298 Issued in OH

Practice address

3636 Mayfield Rd Ste J-14
Cleveland, OH 44118-1403

Phone

(216) 220-0238

NPI assigned

Apr 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1083001945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 MAYFIELD RD STE J-14",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441181403",
            "telephone_number": "216-220-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 MAYFIELD RD STE J-14",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441181403",
            "telephone_number": "216-220-0238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13317 NE 175th St Ste AA",
            "address_purpose": "LOCATION",
            "city": "Woodinville",
            "state": "WA",
            "postal_code": "980726815",
            "country_code": "US",
            "telephone_number": "425-318-7740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15640 Redmond Way",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980523831",
            "country_code": "US",
            "telephone_number": "425-881-5533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "COLLEEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-18",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058518",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60778730",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chan Mi Lee
• Charles Mack Lee, STNA
• Christen Lee, NP-C
• Christine Y Lee, M.D.
• Chun Hin Angus Lee, MD
• Damona Lee, STNA
• David S Lee, M.D.
• Deborah Lee
• Deborah Jean Lee, INDEPENDENT PROVIDER
• Denise Lyvone Lee

• Dentist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.