Lee,N.Grace DDS,Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47930 Issued in CA

Legal business name

LEE,N.GRACE DDS,INC

Practice address

7743 West LN
Suite C5
Stockton, CA 95210-3348

Phone

(209) 474-1101

Fax

(209) 474-9734

NPI assigned

Feb 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Nanjoo Lee

Title

Ceo

Phone

(209) 552-9158

Specialties & licenses 1

Addresses

Practitioners 2

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

• Tyler Anthony Beninati, DMD

  • Pediatric Dentistry
  • Antioch, CA
  • NPI 1770040412
  NPD (past)
• Laurent Vien, D.D.S.

  • General Practice Dentistry
  • Stockton, CA
  • NPI 1932114766
  NPD (past)

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1497095749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7743 WEST LN",
            "address_2": "SUITE C5",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7743 WEST LN",
            "address_2": "SUITE C5",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103348",
            "telephone_number": "209-474-1101",
            "fax_number": "209-474-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE,N.GRACE DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NANJOO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-552-9158",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Soot Ngoot Lee, PHARMD
• Xia Lee
• Yeena Lee, MD
• Yelim Lee
• Yeona Lee
• Kalyn Alexandra Leedle, MA, BCBA
• Marc J. Lefief, PHARM D.
• Brittany Logan Leforestier, BCBA
• Legacy Home Health, Inc.
• Mary Rose Legaspi

• General Practice Dentistry in Stockton, CA
• Providers in Stockton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.