Thomas Kyung Lee, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44332 Issued in CA

Legal business name

THOMAS KYUNG LEE, DDS, INC.

Practice address

3559 W Ramsey St Ste C1
Banning, CA 92220-3505

Phone

(951) 922-3993

Fax

(951) 922-3998

NPI assigned

Apr 1, 2009

Last updated

Apr 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas K Lee, DDS

Title

President

Phone

(951) 922-3993

Specialties & licenses 1

Addresses

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.

• Imad K Thomas, D.D.S

  • General Practice Dentistry
  • Banning, CA
  • NPI 1548482649
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1215179569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 W RAMSEY ST STE C1",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203505",
            "telephone_number": "951-922-3993",
            "fax_number": "951-922-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 W RAMSEY ST STE C1",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203505",
            "telephone_number": "951-922-3993",
            "fax_number": "951-922-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS KYUNG LEE, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-922-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shona Deundra Tate
• Felicia Ann Taylor
• Warren Allen Taylor
• Patricia Tetley
• The Lakes Senior Living, LLC (The Lakes)
• Thomas L Pierick (Med Shop Banning)
• Daphne Carrie Thomas, LCSW
• Imad K Thomas, D.D.S
• Tiana Thomas
• Tosha Thomas

• General Practice Dentistry in Banning, CA
• Providers in Banning, 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 Apr 1, 2009; 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.