Organization Active NPI

Robert C Lee DDS PHD PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Marysville, WA
National Provider Identifier
1194283903
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ROBERT C LEE DDS PHD PLLC
Practice address
4305 76TH St NE
Marysville, WA 98270-3749
Phone
(415) 742-1181
NPI assigned
Mar 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Robert C LeeNPI 1497188247
Title
Member
Phone
(360) 653-4114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

4305 76TH St NE
Marysville, WA 98270-3749

Mailing address

4305 76TH St NE
Marysville, WA 98270-3749
Phone (360) 653-4114

Other names 1

  • Marysville Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

4305 76th St NE
Marysville, WA 98270
Phone (360) 653-4114

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1194283903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 76TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703749",
            "telephone_number": "360-653-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 76TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703749",
            "telephone_number": "415-742-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C LEE DDS PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-653-4114"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marysville Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marysville Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.