Jodice Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8309 Issued in TN

Practice address

2130 W Poplar Ave Suite 106
Collierville, TN 38017

Phone

(901) 861-7007

Fax

(901) 861-7066

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jodice Lee-Belisle Professional name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• American Family Dentistry

  • General Practice Dentistry
  • Collierville, TN
  • NPI 1346381977
  NPD (past)
• American Family Dentistry of Memphis, PC

  • General Practice Dentistry
  • Collierville, TN
  • NPI 1124788229
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558438366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 W POPLAR AVE SUITE 106",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "38017",
            "telephone_number": "901-861-7007",
            "fax_number": "901-861-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 W POPLAR AVE SUITE 106",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "38017",
            "telephone_number": "901-861-7007",
            "fax_number": "901-861-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JODICE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODICE",
            "last_name": "LEE-BELISLE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Trevor Lannom
• Jhylen Lathan, RBT
• Laura Finnern, DPT
• Glenn Boykin Lawrence Jr., CSA
• Mary Geneva Lawson
• Julie Erica Lee
• Sharon Leffingwell, M.A.,CCC-SLP
• Legacy Center, PLLC
• Lendermon Sports Medicine PLC
• Laura N. Lendermon, M.D.

• General Practice Dentistry in Collierville, TN
• Providers in Collierville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.