Active NPI
David Lee, DMD
- Pediatric Dentistry
- Fullerton, CA
National Provider Identifier
1477017432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- XXXXXXXXXXXXXXXXX
- Practice address
- 100 E Valencia Mesa Dr Ste 102
Fullerton, CA 92835-3816 - Phone
- (714) 992-5437
- NPI assigned
- Jan 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | XXXXXXXXXXXXXXXXX | CA | Primary |
Addresses
Primary practice location
100 E Valencia Mesa Dr Ste 102
Fullerton, CA 92835-3816
Mailing address
2549 Tilden Ave
Los Angeles, CA 90064-3133
Phone (310) 869-6047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XXXXXXXXXXXXXXXXX | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Lee, DMD Inc. | Pediatric Dentistry | Current | Accepting new patients |
| Hong and Lee Dental Corporation | Pediatric Dentistry | Past | Accepting new patients |
| Yun Song D.D.S Professional Dental Corporation | Pediatric Dentistry | Past | Accepting new patients |
| Hong and Lee Dental Corporation | Pediatric Dentistry | Past | Accepting new patients |
Locations
18 Endeavor
Ste 302
Irvine, CA 92618
Phone (949) 653-8469
Organizations & group practices 4
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.
-
- Pediatric Dentistry
- Irvine, CA
- NPI 1265189740
-
- Pediatric Dentistry
- Fullerton, CA
- NPI 1558568527
-
- Pediatric Dentistry
- Fullerton, CA
- NPI 1871624387
-
- Pediatric Dentistry
- Irvine, CA
- NPI 1538701057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1477017432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2549 TILDEN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900643133",
"telephone_number": "310-869-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E VALENCIA MESA DR STE 102",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353816",
"telephone_number": "714-992-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-24",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "XXXXXXXXXXXXXXXXX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.