NPIMap

Organization Active NPI

D. H. Lee DMD PA

Doing business as Louisburg Family Dentistry

  • General Practice Dentistry
  • Louisburg, NC
National Provider Identifier
1164833620
Registry record updated May 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC 9417 Issued in NC
Legal business name
D. H. LEE DMD PA
Doing business as
Louisburg Family Dentistry
Practice address
109 Jolly St
Louisburg, NC 27549-2239
Phone
(919) 496-5734
Fax
(919) 496-2599
NPI assigned
May 17, 2014
Last updated
May 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2014

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

Authorized official

Name
Dr. Donghoon Lee, DMDNPI 1174797013
Title
President
Phone
(919) 496-5734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NC 9417 NC Primary

Addresses

Primary practice location

109 Jolly St
Louisburg, NC 27549-2239

Mailing address

109 Jolly St
Louisburg, NC 27549-2239
Phone (919) 496-5734

Other names 1

  • LOUISBURG FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
D H Lee DMD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

109 Jolly St
Louisburg, NC 27549
Phone (919) 496-5734

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1400284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400284800000",
    "number": "1164833620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 JOLLY ST",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492239",
            "telephone_number": "919-496-5734",
            "fax_number": "919-496-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 JOLLY ST",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492239",
            "telephone_number": "919-496-5734",
            "fax_number": "919-496-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. H. LEE DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-17",
        "last_updated": "2014-05-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DONGHOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-496-5734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC 9417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOUISBURG FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2014; 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.