Dr. Robert C C Lee Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41454 Issued in CA

Legal business name

DR. ROBERT C C LEE DENTAL CORP

Practice address

11780 Firestone Blvd
Norwalk, CA 90650-2899

Phone

(562) 868-9897

NPI assigned

Aug 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Robert C C Lee, DMD

Title

President/ Owner

Phone

(562) 868-9897

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.

• Robert C.C. Lee, DMD

  • General Practice Dentistry
  • Norwalk, CA
  • NPI 1518180264

  General Practice

  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1285034264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11780 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502899",
            "telephone_number": "562-868-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11780 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502899",
            "telephone_number": "562-868-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT C C LEE DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT C C",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "562-868-9897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Norwalk, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.