Joshua Lee, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

11281 Issued in TN

Practice address

160 Movie Row
Smyrna, TN 37167-6532

Phone

(615) 930-9606

NPI assigned

Aug 1, 2020

Last updated

Aug 21, 2020By the provider in NPPES

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

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smyrna Modern Dentistry, PC

  dba Smyrna Modern Dentistry

  • Dentist
  • Smyrna, TN
  • NPI 1669840211
  NPD (past)

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

{
    "created_epoch": "1596240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1366052789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 TYLER TRCE",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432931",
            "telephone_number": "770-841-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MOVIE ROW",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676532",
            "telephone_number": "615-930-9606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1954 Tyler Trce",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300432931",
            "country_code": "US",
            "telephone_number": "770-841-7247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-01",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TN",
            "license": "11281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nguyen Le
• Lebanon Eye Assoc, PC (The Eye Center)
• Lebanon Eye Associates (The Eye Center)
• Aaron Lee
• Alyia Lee
• Michele Renee Lee, N.P.
• Legacy Hill Dentistry (Ricky Dale Russell, DDS)
• Sandra Sue Lehto, D.PH.
• Edgar Lei
• Janetzi Leiva

• Periodontics in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Periodontics in Tennessee

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