Anthony Lee, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17691 Issued in FL

Practice address

965 State Road 16 Ste 106
St Augustine, FL 32084-1865

Phone

(904) 808-8779

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1184727794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 STATE ROAD 16 STE 106",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841865",
            "telephone_number": "904-808-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 STATE ROAD 16 STE 106",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841865",
            "telephone_number": "904-808-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANTHONY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2023-01-04",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lechwar
• Mary Leckey
• Lauren Ledbetter
• Lisa White Ledbury, HIS.
• Taylor Lee-Wambolt
• Ki Bum Lee
• Patrick Leffers, PHARMD
• Legacy Comfort Care LLC
• Marc Lei
• Gloria J. Lelaidier, ARNP, CNMW

• General Practice Dentistry in St Augustine, FL
• Providers in St Augustine, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.