Organization Active NPI

Amanda Lee DDS PA

Doing business as Hillsborough Pediatric Dentistry

  • Pediatric Dentistry
  • Hillsborough, NC
National Provider Identifier
1114430451
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8957 Issued in NC
Legal business name
AMANDA LEE DDS PA
Doing business as
Hillsborough Pediatric Dentistry
Practice address
310 Millstone Dr
Suite 1
Hillsborough, NC 27278
Phone
(919) 360-8755
Fax
(919) 296-1016
NPI assigned
Nov 8, 2017
Last updated
Jul 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Dr. Amanda Lee Seidl, DDS
Title
Dentist/Owner
Phone
(919) 360-8755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 8957 NC Primary

Addresses

Primary practice location

310 Millstone Dr
Suite 1
Hillsborough, NC 27278

Mailing address

310 Millstone Dr
Suite 1
Hillsborough, NC 27278
Phone (919) 360-8755

Other names 1

  • Hillsborough Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

310 Millstone Dr
#1
Hillsborough, NC 27278
Phone (724) 953-5511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1114430451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MILLSTONE DR",
            "address_2": "SUITE 1",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "27278",
            "telephone_number": "919-360-8755",
            "fax_number": "919-296-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MILLSTONE DR",
            "address_2": "SUITE 1",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "27278",
            "telephone_number": "919-360-8755",
            "fax_number": "919-296-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA LEE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "SEIDL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "919-360-8755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "8957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillsborough Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.