Isaac Lee, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.035301 Issued in IL

Practice address

4647 W 103Rd St Ste 1M
Oak Lawn, IL 60453-4874

Phone

(708) 424-2150

NPI assigned

Jul 2, 2024

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

Practice roles

Locations

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.

• Identical Smiles LLC

  • General Practice Dentistry
  • Oak Lawn, IL
  • NPI 1760377279
  NPD
• C.J.Neal DDS, LTD

  • Pediatric Dentistry
  • Oak Lawn, IL
  • NPI 1871045302

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1407692213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST STE 1M",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534874",
            "telephone_number": "708-424-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST STE 1M",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534874",
            "telephone_number": "708-424-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N Michigan Ave Ste 622",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606023821",
            "country_code": "US",
            "telephone_number": "312-236-8062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.035301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Lee, FNP
• Christine Lee, APN, FNP-BC
• Douglas A Lee, MD
• Eleanor Heejin Lee, DO
• Ham Nyung Lee, MD
• Jane Kayle Jaein Lee, M.D.
• Michael Lee Jr., DMD
• Renee Yvonne Lee, LCSW
• Nathan Lehocky
• Megan Leitner

• General Practice Dentistry in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.