Dae Won Lee DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DAE WON LEE DDS INC

Doing business as

Beaumont Smile Dental

Practice address

930 Beaumont Ave
Beaumont, CA 92223

Phone

(951) 845-2200

NPI assigned

Aug 28, 2017

Organization subpart

No

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

Authorized official

Name

Stephanie Cervantes

Title

Regional Manager

Phone

(760) 617-9639

Specialties & licenses 1

Addresses

Other names 1

• Beaumont Smile Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anu Chachad, DDS

  • General Practice Dentistry
  • Beaumont, CA
  • NPI 1225180235
  NPD (past)

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346767514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 BEAUMONT AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922231831",
            "telephone_number": "951-845-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BEAUMONT AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "92223",
            "telephone_number": "951-845-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAE WON LEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "760-617-9639"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaumont Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill R Cuni, M.D.
• Cure in Home Services LLC (Right At Home)
• Maribel Curiel
• Dara D'Elia
• Daaella Inc
• Daniel C. Park DDS Inc
• Dark & Kaibel, D.C.'S
• David Kleis II, LLC (Palm Grove Healthcare)
• David Kleis, Inc. (Beaumont Care Center)
• Brittany Davila

• Dental Clinic/Center in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.