Mike M. Lee, DDS, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

50076 Issued in CA

Legal business name

MIKE M. LEE, DDS, INC.

Practice address

41797 Nicole LN
Temecula, CA 92591-3870

Phone

(951) 695-7733

NPI assigned

Jan 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mike Lee, DDSNPI 1538228820

Title

Ceo

Phone

(951) 695-7733

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.

• Mike Myungwhan Lee, DDS

  • Pediatric Dentistry
  • Temecula, CA
  • NPI 1538228820
  NPD Authorized official

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1336479963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41797 NICOLE LN",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913870",
            "telephone_number": "951-695-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41797 NICOLE LN",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913870",
            "telephone_number": "951-695-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE M. LEE, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-695-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "50076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Temecula, CA
• Providers in Temecula, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.