Organization Active NPI

David Lee DDS PLLC

  • General Practice Dentistry
  • Kingston, NY
National Provider Identifier
1417779349
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVID LEE DDS PLLC
Practice address
150 Hurley Ave
Kingston, NY 12401-2812
Phone
(845) 339-0964
Fax
(845) 339-1302
NPI assigned
Oct 30, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
David Lee, DDSNPI 1598010381
Title
Owner
Phone
(407) 739-4720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

150 Hurley Ave
Kingston, NY 12401-2812

Mailing address

150 Hurley Ave
Kingston, NY 12401-2812
Phone (845) 339-0964

National Provider Directory

National Provider Directory

Locations

150 Hurley Ave
Kingston, NY 12401
Phone (845) 339-0964

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1417779349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012812",
            "telephone_number": "845-339-0964",
            "fax_number": "845-339-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012812",
            "telephone_number": "845-339-0964",
            "fax_number": "845-339-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LEE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-739-4720",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.