Organization Active NPI

John J. Lee, D.D.S. and Sueng C. DO, D.D.S., Inc.

Doing business as Central Dental Group

  • General Practice Dentistry
  • Turlock, CA
National Provider Identifier
1336297225
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45485 Issued in CA
Legal business name
JOHN J. LEE, D.D.S. AND SUENG C. DO, D.D.S., INC.
Doing business as
Central Dental Group
Practice address
2211 Fulkerth Rd
Turlock, CA 95380-9535
Phone
(209) 668-2220
Fax
(209) 668-2227
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John J Lee, D.D.S.
Title
President
Phone
(209) 668-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45485 CA Primary

Addresses

Primary practice location

2211 Fulkerth Rd
Turlock, CA 95380-9535

Mailing address

2211 Fulkerth Rd
Turlock, CA 95380-9535
Phone (209) 668-2220

Other names 1

  • Central Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2211 Fulkerth Rd
Turlock, CA 95380
Phone (209) 668-2220

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336297225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 FULKERTH RD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953809535",
            "telephone_number": "209-668-2220",
            "fax_number": "209-668-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 FULKERTH RD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953809535",
            "telephone_number": "209-668-2220",
            "fax_number": "209-668-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. LEE, D.D.S. AND SUENG C. DO, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-668-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.