Thomas G. Lee, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9337 Issued in TX

Legal business name

THOMAS G. LEE, D.D.S., INC.

Practice address

104 West Powell Drive
Willis, TX 77378-0188

Phone

(936) 856-4582

Fax

(936) 856-7074

NPI assigned

Oct 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas G. Lee, D.D.S.

Title

President

Phone

(936) 856-4582

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497838957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "address_2": "104 WEST POWELL DRIVE",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773780188",
            "telephone_number": "936-856-4582",
            "fax_number": "936-856-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WEST POWELL DRIVE",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773780188",
            "telephone_number": "936-856-4582",
            "fax_number": "936-856-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G. LEE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-856-4582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "9337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Willis, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.