David Doo-Sang Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS101014 Issued in CA

Practice address

1745 W Kettleman LN
Lodi, CA 95242-9287

Phone

(718) 640-4317

NPI assigned

Mar 20, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1269043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1194049072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9953 W TARON DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578160",
            "telephone_number": "718-640-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 W KETTLEMAN LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952429287",
            "telephone_number": "718-640-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAVID",
        "middle_name": "DOO-SANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-20",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054819",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010241",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmeen Lazkani
• Susan Le
• Teresa Le, OTR/L
• Heather West Leam, D.C.
• Leaps Inc
• Ee Shen Lee, DMD
• Harvey Lee
• Theresa J Lee, DOCTOR OF EDUCATION
• Thomas Lenton, PHARM.D.
• Selena Denise Leon

• General Practice Dentistry in Lodi, CA
• Providers in Lodi, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.