Stacey a Lee, a Dental Corporation

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

STACEY A LEE, A DENTAL CORPORATION

Practice address

348 Taraval St
San Francisco, CA 94116-1953

Phone

(415) 564-6800

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Stacey A Lee, DDS, MSNPI 1154798007

Title

President

Phone

(415) 350-4489

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Stacey Lee, DDS

  • Periodontics
  • San Francisco, CA
  • NPI 1154798007
  NPD Authorized official
• Jeffrey T Fujimoto, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • San Francisco, CA
  • NPI 1841381753
  NPD (past)
• Calvin Y. Lee, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • San Francisco, CA
  • NPI 1245328822
  NPD (past)
• Casey Paul Lee, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • San Francisco, CA
  • NPI 1003315458
  NPD (past)

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1356818256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 TARAVAL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161953",
            "telephone_number": "415-350-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 TARAVAL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161953",
            "telephone_number": "415-564-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10055 Miller Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950143468",
            "country_code": "US",
            "telephone_number": "408-446-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STACEY A LEE, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-350-4489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Vincent de Paul Society
• St. Vincent de Paul Society
• St. Vincent de Paul Society
• Marie St.Pierre, M.S.W.
• Mia Stableford, CMT
• Stacey Kolsrud
• Monika Stache, MS, CCC-SLP
• Colin Stack-Troost, MA, MFT
• Courtney Stack
• Nathan Stack

• Periodontics in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.