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

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 and National Provider Directory roles.

• Smyrna Modern Dentistry, PC

  • 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
• Lebanon Eye Associates
• Aaron Lee
• Alyia Lee
• Michele Renee Lee, N.P.
• Legacy Hill Dentistry
• 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.