David S Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48494 Issued in CA

Practice address

801 E Valley Blvd Ste 205
San Gabriel, CA 91776-3697

Phone

(626) 571-0251

Fax

(626) 571-0425

NPI assigned

Apr 8, 2015

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

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.

• David S. Lee, DDS., Inc., Dba Modern Dental

  • General Practice Dentistry
  • San Gabriel, CA
  • NPI 1417973058
  NPD (past) Authorized official

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1316333156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E VALLEY BLVD STE 205",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763697",
            "telephone_number": "626-571-0251",
            "fax_number": "626-571-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E VALLEY BLVD STE 205",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763697",
            "telephone_number": "626-571-0251",
            "fax_number": "626-571-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aiah Shyanne Lee, PHARMD
• Alice Lee, O.D.
• Allen Hsiu-Jen Lee, D.D.S.
• Angelin Lee, NP
• Chen-CHI Lee, PA
• Hao-Fu Lee, DDS, MS
• Hyunjung Lee, FNP-C
• Julie Lee, D.P.T.
• Kenny Lee, PHARMD
• Kuan-Yi Lee

• General Practice Dentistry in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.