Mary Gray Lee, D.M.D, M.S.D

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

15078 Issued in MD

Practice address

6080 Falls Road
Suite 202
Baltimore, MD 21209

Phone

(410) 372-0202

NPI assigned

Sep 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 16, 2016 through Mar 16, 2028

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kevin G. Murphy DDS,Ms

  • Prosthodontics
  • Baltimore, MD
  • NPI 1477767853

  Periodontics

  NPD (past)
• B. Webb Jones, Jr. DMD

  • Periodontics
  • Florence, SC
  • NPI 1912479429
  NPD (past)

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1558610444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 DULANEY VALLEY ROAD",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "859-333-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 FALLS ROAD",
            "address_2": "SUITE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21209",
            "telephone_number": "410-372-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARY",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D, M.S.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "15078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Lee, MD
• Latasha Lee
• Lawrence Soon-U Lee, M.D.
• Lydia Lee, BS, PHARMD
• Maria Lee, M.D.
• Matthew T Lee, DMD
• Maurice Lee
• Megan Lee
• Melaine Lee, RPH
• Melissa Lee, M.D.

• Periodontics in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.