Individual provider Active NPI

Stacey Lee, DDS

  • Dentist
  • Allen Park, MI
National Provider Identifier
1144296997
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901016854 Issued in MI
Practice address
10551 Allen Rd
Suite 107
Allen Park, MI 48101-3305
Phone
(313) 388-1100
Fax
(313) 388-5633
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901016854 MI Primary

Addresses

Primary practice location

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

Mailing address

10551 Allen Rd
Suite 107
Allen Park, MI 48101-3305
Phone (313) 388-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901016854MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Stacey Lee, DDS, PC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144296997",
    "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": {
        "last_name": "LEE",
        "first_name": "STACEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.