Leah Gordon Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9003 Issued in TN

Practice address

7723 Clearview Church LN
Lyles, TN 37098-1674

Phone

(931) 670-5520

NPI assigned

Aug 6, 2009

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2015.

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1407087570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 916",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370960916",
            "telephone_number": "931-589-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7723 CLEARVIEW CHURCH LN",
            "city": "LYLES",
            "state": "TN",
            "postal_code": "370981674",
            "telephone_number": "931-670-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LEAH",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Allen Graves, FNP-BC
• Zilla F Henricksen, FNP-C
• Hickman Community Health Careservices
• KJK LLC
• Brent Lee, D.D.S.
• Nicholas Paul Malinowski, DMD
• Bobby Gene Manor II, LPTA
• Stephen M McClellan, P.T.
• Kay P Murphy, NP
• Performance Rehab Institute

• All providers in Lyles, TN
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.