Organization Active NPI

Dr. Dwight B. Lee Family & Cosmetic Dentistry, Inc.

  • General Practice Dentistry
  • Lebanon, IN
National Provider Identifier
1083581821
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR. DWIGHT B. LEE FAMILY & COSMETIC DENTISTRY, INC.
Practice address
1202 N Lebanon St
Lebanon, IN 46052-1510
Phone
(765) 482-2400
Fax
(765) 482-2405
NPI assigned
Oct 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Brandi Hill
Title
Office Manager
Phone
(765) 482-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1202 N Lebanon St
Lebanon, IN 46052-1510

Mailing address

1202 N Lebanon St
Lebanon, IN 46052-1510
Phone (765) 482-2400

National Provider Directory

National Provider Directory

Locations

1202 N Lebanon St
Lebanon, IN 46052
Phone (765) 482-1420

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1083581821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521510",
            "telephone_number": "765-482-2400",
            "fax_number": "765-482-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521510",
            "telephone_number": "765-482-2400",
            "fax_number": "765-482-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DWIGHT B. LEE FAMILY & COSMETIC DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "765-482-2400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.