Roger S Lee, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN11112 Issued in FL

Practice address

3440 Conway Blvd
Suite 2D
Port Charlotte, FL 33952-7000

Phone

(941) 743-4425

Fax

(941) 743-2005

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356487748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 CONWAY BLVD",
            "address_2": "SUITE 2D",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339527000",
            "telephone_number": "941-743-4425",
            "fax_number": "941-743-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 CONWAY BLVD",
            "address_2": "SUITE 2D",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339527000",
            "telephone_number": "941-743-4425",
            "fax_number": "941-743-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ROGER",
        "middle_name": "S",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN11112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Memorial Health System
• Lee Memorial Health System
• Linda Barbara Lee-Bardowski, MS, ARNP-C
• Hisoon A Lee, CRNA ARNP
• N'Keyma Lee, RD,LDN
• Ricky Phillip Leff, MD
• Kelly Anne Legge, ARNP
• Brooklyn Leisge, CRNA
• Nanci Lekov
• Enrique Lemus

• Oral and Maxillofacial Surgery (Dentist) in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• 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.

Verify at the official NPI Registry.