Active NPI
Patrick C Lee, D.D.S.
- Dentist
- Gaithersburg, MD
National Provider Identifier
1356377170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10685
- Practice address
- 803 Russell Ave
2C
Gaithersburg, MD 20879-3584 - Phone
- (301) 948-4378
- Fax
- (301) 869-7789
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10685 | MD | Primary |
Addresses
Primary practice location
803 Russell Ave
2C
Gaithersburg, MD 20879-3584
Mailing address
803 Russell Ave
2C
Gaithersburg, MD 20879-3584
Phone (301) 948-4378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patrick C. Lee, DDS PC | Current | Accepting new patients |
Locations
803 Russell Ave
Ste 2C
Gaithersburg, MD 20879
Phone (301) 637-0719
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Gaithersburg, MD
- NPI 1518575414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356377170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 RUSSELL AVE",
"address_2": "2C",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793584",
"telephone_number": "301-948-4378",
"fax_number": "301-869-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 RUSSELL AVE",
"address_2": "2C",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793584",
"telephone_number": "301-948-4378",
"fax_number": "301-869-7789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PATRICK",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "10685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.