Richard Lee PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

13198 Issued in MD

Legal business name

RICHARD LEE PC

Practice address

23278 Three Notch Rd
California, MD 20619-6018

Phone

(240) 316-4004

Fax

(240) 316-4005

NPI assigned

Jul 31, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Richard Lee, DMD, MS, MPH, CAGS

Title

Owner

Phone

(240) 316-4004

Specialties & licenses 1

Addresses

Other names 1

• Patuxent Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1457737561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE",
            "address_2": "STE. 304",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201761701",
            "telephone_number": "703-858-0303",
            "fax_number": "703-858-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23278 THREE NOTCH RD",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206196018",
            "telephone_number": "240-316-4004",
            "fax_number": "240-316-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD LEE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-316-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS, MPH, CAGS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "13198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patuxent Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cha-CHI Ren
• Jaelyn McKenzie Reyes
• Kalana Riley
• Nichole Marie Riley, FNP-C
• Kamryn Ring, BCBA
• Jessica Roach
• Jaydee Jacob Robles, DACM, L.AC.

• Orthodontics and Dentofacial Orthopedics Dentistry in California, MD
• Providers in California, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.