Doan DDS and Lee DDS, a Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DOAN DDS AND LEE DDS, A DENTAL CORPORATION

Practice address

324 E 11TH St Ste E2
Tracy, CA 95376-4084

Phone

(510) 512-0356

NPI assigned

Aug 15, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Alfonse Doan, DDSNPI 1205120219

Title

Chief Financial Officer

Phone

(209) 888-6300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alfonse Doan

  • Pediatric Dentistry
  • Visalia, CA
  • NPI 1205120219
  NPD Authorized official

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705190400000",
    "number": "1275316283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E 11TH ST STE E2",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764084",
            "telephone_number": "209-888-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E 11TH ST STE E2",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764084",
            "telephone_number": "510-512-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOAN DDS AND LEE DDS, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2024-01-14",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "ALFONSE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "209-888-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Rose Diong-Thakar
• Veena Diwadkar, RPH
• Natasha Dizon
• Cadidjato Djalo
• William Quyen Doan DO, D.D.S.
• Kellen Doan
• Jennifer Dolbee
• Donald R. Marram, a Podiatry Corporation
• Leather Donaldson-Nevarez, LCSW
• Ruiza Dostdar

• Pediatric Dentistry in Tracy, CA
• Providers in Tracy, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; 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.