Thomas K Lee, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

D1020 Issued in GU

Practice address

761 S Marine Corps Dr
Suite A2
Tamuning, GU 96913-3523

Phone

(671) 969-8533

Fax

(671) 969-8534

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492905600000",
    "number": "1356483259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 S MARINE CORPS DR",
            "address_2": "SUITE A2",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133523",
            "telephone_number": "671-969-8533",
            "fax_number": "671-969-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 S MARINE CORPS DR",
            "address_2": "SUITE A2",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133523",
            "telephone_number": "671-969-8533",
            "fax_number": "671-969-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "THOMAS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2017-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44332",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GU",
            "license": "D1020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L0015274",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant Ronald Layton, D.M.D.
• Tiffany Le
• Jamie Heyrin Lee, PHARM D
• Kenneth Won Lee, PHARM.D.
• Sang Bok Lee, PHARMD
• Richard Legaspi
• Joen Redd N Legislador
• Alice C Leliukas, RN CNM
• Alexandra Herrero Leon Guerrero, M.D.
• Robert Joseph Leon Guerrero, M.D.

• All providers in Tamuning, GU
• Dentist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2017; 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.