Raymond W. Lee, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12010748A Issued in IN

Practice address

803 Edwards Dr
Plainfield, IN 46168-2785

Phone

(317) 527-0066

NPI assigned

May 29, 2008

Last updated

Dec 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Indiana Oral & Maxillofacial Surgery Associates PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fishers, IN
  • NPI 1407809585
  NPD (past)
• Plainfield Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Plainfield, IN
  • NPI 1568907582
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1164680831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 EDWARDS DR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682785",
            "telephone_number": "317-527-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 EDWARDS DR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682785",
            "telephone_number": "317-527-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RAYMOND",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12010748A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200932660",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Marie Lautenschlager, BCBA
• Monsurat Lawal
• Charles Lawson, BC HIS
• Lushawna Elizabeth Lawson, PHARMD, MPA
• Julie Lee, PT
• Tracy Lee, DPM
• Kara Nichole Leto, MA, BCBA
• Brianna Lewis
• Nautia Lewis
• Liberation Counseling Services, LLC

• Oral and Maxillofacial Surgery (Dentist) in Plainfield, IN
• Providers in Plainfield, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.