Active NPI
Becky Lee, DMD
- Dentist
- Fort Stewart, GA
National Provider Identifier
1558101410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401418903
- Practice address
- 8435 Vanguard Rd
Fort Stewart, GA 31315 - Phone
- (571) 801-6917
- NPI assigned
- May 29, 2024
- Last updated
- Sep 22, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401418903 | VA | Primary |
Addresses
Primary practice location
8435 Vanguard Rd
Fort Stewart, GA 31315
Mailing address
12 Stafford Loop
Richmond Hill, GA 31324-6875
Phone (770) 373-7526
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 |
|---|---|---|---|
| 0401418903 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1558101410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 STAFFORD LOOP",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313246875",
"telephone_number": "770-373-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8435 VANGUARD RD",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "31315",
"telephone_number": "571-801-6917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BECKY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401418903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.