Dr. Stacey Lee, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. STACEY LEE, DDS, PC

Practice address

10551 Allen Rd
Suite 107
Allen Park, MI 48101-3305

Phone

(313) 388-1100

Fax

(313) 388-5633

NPI assigned

Feb 21, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stacey Lee, DDSNPI 1144296997

Title

Owner

Phone

(313) 388-1100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Stacey Lee, DDS

  • Dentist
  • Allen Park, MI
  • NPI 1144296997
  NPD (past) Authorized official
• Byung Jae Jack Lee, DMD

  • Dentist
  • Allen Park, MI
  • NPI 1033184882
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114992336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10551 ALLEN RD",
            "address_2": "SUITE 107",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481013305",
            "telephone_number": "313-388-1100",
            "fax_number": "313-388-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10551 ALLEN RD",
            "address_2": "SUITE 107",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481013305",
            "telephone_number": "313-388-1100",
            "fax_number": "313-388-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STACEY LEE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-388-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Allen Park, MI
• Providers in Allen Park, MI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.