NPIMap

Organization Active NPI

Scott Lee DDS Dental Corp

  • Dental Clinic/Center
  • Fresno, CA
National Provider Identifier
1275921058
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
39438 Issued in CA
Legal business name
SCOTT LEE DDS DENTAL CORP
Practice address
140 W Shaw Ave
Fresno, CA 93704-2817
Phone
(559) 226-9472
Fax
(559) 226-9486
NPI assigned
Jan 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Scott Muntae LeeNPI 1689714172
Title
President
Phone
(559) 284-1784

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
Dental Clinic/Center 261QD0000X 39438 CA Primary

Addresses

Primary practice location

140 W Shaw Ave
Fresno, CA 93704-2817

Mailing address

140 W Shaw Ave
Fresno, CA 93704-2817
Phone (559) 226-9472

National Provider Directory

National Provider Directory

Locations

140 W Shaw Ave
Fresno, CA 93704
Phone (559) 226-9472

Practitioners & affiliated clinicians

Practitioners 1

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": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1275921058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042817",
            "telephone_number": "559-226-9472",
            "fax_number": "559-226-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042817",
            "telephone_number": "559-226-9472",
            "fax_number": "559-226-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT LEE DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MUNTAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-284-1784"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "39438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.