Organization Active NPI

GG Lee, DDS, PC

  • Dental Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1467085480
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GG LEE, DDS, PC
Practice address
242 E Airport Dr Ste 100
San Bernardino, CA 92408-3408
Phone
(909) 890-0050
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Gun Gil Lee, DDSNPI 1518340413
Title
President
Phone
(714) 707-0167

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

242 E Airport Dr Ste 100
San Bernardino, CA 92408-3408

Mailing address

242 E Airport Dr Ste 100
San Bernardino, CA 92408-3408
Phone (909) 890-0050

National Provider Directory

National Provider Directory

Locations

242 E Airport Dr
Ste 100
San Bernardino, CA 92408
Phone (626) 628-5227

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1467085480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E AIRPORT DR STE 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083408",
            "telephone_number": "909-890-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E AIRPORT DR STE 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083408",
            "telephone_number": "909-890-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GG LEE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GUN GIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-707-0167",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.