Paul Michael Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007702 Issued in VA

Practice address

3975 Fair Ridge Dr
North Building Suite #305
Fairfax, VA 22033-2911

Phone

(703) 352-9600

Fax

(703) 352-7160

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1316022734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 FAIR RIDGE DR",
            "address_2": "NORTH BUILDING SUITE #305",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332911",
            "telephone_number": "703-352-9600",
            "fax_number": "703-352-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 FAIR RIDGE DR",
            "address_2": "NORTH BUILDING SUITE #305",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332911",
            "telephone_number": "703-352-9600",
            "fax_number": "703-352-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois Lee, NP
• Mary Lee, LCSW
• Monica Jongmin Lee
• Nathan Chulwon Lee, DDS
• Patty Lee, M.D.
• Peter Lee Jr., M.D.
• Seong Rim Lee, ACUPUNCTURIST
• Seung Yoon Lee, DO
• Siena Lee, LCSW
• Somi Lee

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.