Shaun S Lee, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60086475 Issued in WA

Practice address

1320 8TH St NE Ste 103
Auburn, WA 98002-4589

Phone

(253) 939-3440

Fax

(253) 939-2818

NPI assigned

Apr 18, 2007

Last updated

Mar 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shaun S. Lee D.D.S

  • General Practice Dentistry
  • Auburn, WA
  • NPI 1811319205
  NPD (past)
• Center for Implant Dentistry Prestige Dental Group

  • Oral and Maxillofacial Surgery (Dentist)
  • Fremont, CA
  • NPI 1992314421
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1083830087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 8TH ST NE STE 103",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024589",
            "telephone_number": "253-939-3440",
            "fax_number": "253-939-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 8TH ST NE STE 103",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024589",
            "telephone_number": "253-939-3440",
            "fax_number": "253-939-2818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 SE 174th St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555472",
            "country_code": "US",
            "telephone_number": "425-226-9565",
            "fax_number": "425-228-7544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHAUN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60086475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Lee
• Hyun-Jung Lee, RPH
• Jim K Lee
• Kristiana Lee, OD
• Norman Michael Lee, RPH
• Suzanne Lee
• Avneet Lehal, DO
• Joshua Steven Leifson
• Kliss Leithead, MS, CCC-SLP
• Tamara Leitzke

• General Practice Dentistry in Auburn, WA
• Providers in Auburn, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.