Individual provider Active NPI

Ronald Dexter Lee, DMD

  • Dentist
  • Aiken, SC
National Provider Identifier
1184733982
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0002937 Issued in SC
Practice address
1316 Pine Log Road
Aiken, SC 29806
Phone
(803) 642-8678
Fax
(803) 642-9090
NPI assigned
Aug 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0002937 SC Primary

Addresses

Primary practice location

1316 Pine Log Road
Aiken, SC 29806

Mailing address

1316 Pine Log Road
Aiken, SC 29806
Phone (803) 642-8678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140513001035 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6305079690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2937SCMDChiropractor
0002937SCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184733982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 PINE LOG ROAD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29806",
            "telephone_number": "803-642-8678",
            "fax_number": "803-642-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 PINE LOG ROAD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29806",
            "telephone_number": "803-642-8678",
            "fax_number": "803-642-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RONALD",
        "middle_name": "DEXTER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "0002937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.