Wyatt T. Lee DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00004764 Issued in WA

Legal business name

WYATT T. LEE DDS PLLC

Practice address

901 Boren Ave
Ste. #650
Seattle, WA 98104-3522

Phone

(206) 328-2280

Fax

(206) 328-2494

NPI assigned

Nov 11, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Wyatt T Lee, DDSNPI 1578766267

Title

President

Phone

(206) 328-2280

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wyatt T Lee, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1578766267
  NPD (past) Authorized official

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1154302495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE",
            "address_2": "STE. #650",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043522",
            "telephone_number": "206-328-2280",
            "fax_number": "206-328-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE",
            "address_2": "STE. #650",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043522",
            "telephone_number": "206-328-2280",
            "fax_number": "206-328-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYATT T. LEE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WYATT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-328-2280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00004764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Doris Wurst, LMHC
• Vanessa Wurttele-Brissolesi
• Gary Scott Wurtz, LMP RBT
• James F Wuth, AUD
• Thomas Michael Wyant
• Aislinn Wyatt, LCPO
• Jennifer Grace Wyatt, LMHC, MAC, SUDP
• Mackenzie Wyatt
• Robert J. Wyatt, RN
• Stephanie Wyatt

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, 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 Aug 28, 2020; 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.