Lee Dale Jess, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7035 Issued in MN

Practice address

501 S Pokegama Ave
Suite 101
Grand Rapids, MN 55744-3838

Phone

(218) 326-3231

Fax

(218) 326-4619

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lee D Jess DDS LTD

  • General Practice Dentistry
  • Grand Rapids, MN
  • NPI 1740352608
  NPD (past) Authorized official
• Pokegama Dental

  • General Practice Dentistry
  • Grand Rapids, MN
  • NPI 1215614532
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285706226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S POKEGAMA AVE",
            "address_2": "SUITE 101",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443838",
            "telephone_number": "218-326-3231",
            "fax_number": "218-326-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S POKEGAMA AVE",
            "address_2": "SUITE 101",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443838",
            "telephone_number": "218-326-3231",
            "fax_number": "218-326-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESS",
        "first_name": "LEE",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Jacobson
• Lana Rae Jacobson, FAMILY NURSE PRACTIT
• James Rostvold
• Jason Jarvis, LPCC
• Kelley L Jensen, APRN, CNP
• John L Bonner Eye Clinic LTD
• Amber L. Johnson, CRNA
• David Johnson, RPH
• James Frederick Johnson, D.D.S.
• Kathryn Lynn Johnson

• General Practice Dentistry in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.