NPIMap

Organization Active NPI

Shirley T. Lee DDS Inc

Doing business as fullerton family dental

  • General Practice Dentistry
  • Fullerton, CA
National Provider Identifier
1346364700
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46096 Issued in CA
Legal business name
SHIRLEY T. LEE DDS INC
Doing business as
fullerton family dental
Practice address
906 W Orangethorpe Ave
Fullerton, CA 92832-2827
Phone
(714) 871-3900
Fax
(714) 870-1127
NPI assigned
Mar 19, 2007
Last updated
Aug 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Shirley T Lee, D.D.SNPI 1881847762
Title
President
Phone
(714) 871-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 46096 CA Primary

Addresses

Primary practice location

906 W Orangethorpe Ave
Fullerton, CA 92832-2827

Mailing address

906 W Orangethorpe Ave
Fullerton, CA 92832-2827
Phone (714) 871-3900

Other names 1

  • fullerton family dental Doing business as

National Provider Directory

National Provider Directory

Locations

906 W Orangethorpe Ave
Fullerton, CA 92832
Phone (714) 871-3900

Practitioners & affiliated clinicians

Practitioners 3

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1346364700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322827",
            "telephone_number": "714-871-3900",
            "fax_number": "714-870-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322827",
            "telephone_number": "714-871-3900",
            "fax_number": "714-870-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY T. LEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-871-3900",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "fullerton family dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.