Michael Lawrence Lee, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2022012149 Issued in MO

Practice address

1002 Schroeder Creek Blvd
Wentzville, MO 63385-3558

Phone

(314) 900-6886

NPI assigned

Jun 20, 2022

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1114658242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 EDWARDS PLACE CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281552",
            "telephone_number": "314-640-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 SCHROEDER CREEK BLVD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853558",
            "telephone_number": "314-900-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2022012149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Laws
• Sarah Elizabeth Layton, MSW, LCSW
• Leah S Owens DC LLC
• Cindy M. Leahy, D.O.
• Megan Leaver, OTD, OTR/L
• Rebecca Lynn Leigh
• Kristin Nicole Lemaitre, D.D.S.
• Emma Leonard, LPC
• Cristiana Danielle Lewis, LP. PSYD
• Coralia Ilinca Leyderman, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.