Angie Lee, DMD, Ms, PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

201944 Issued in CO

Legal business name

ANGIE LEE, DMD, MS, PLLC

Practice address

1220 Oak Park Dr Ste 2
Fort Collins, CO 80525-7302

Phone

(970) 999-4321

NPI assigned

Jan 22, 2014

Organization subpart

No

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

Authorized official

Name

Angie Lee, DMD, MS

Title

Manager

Phone

(970) 999-4321

Specialties & licenses 1

Addresses

Other names 1

• Angie Lee Periodontics & Implant Dentistry Doing business as

Locations

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1346663622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 WINDROW DR UNIT A206",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256782",
            "telephone_number": "970-999-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 OAK PARK DR STE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257302",
            "telephone_number": "970-999-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGIE LEE, DMD, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-999-4321",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "201944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angie Lee Periodontics & Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Periodontics in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.