D. H. Lee DMD PA Creedmoor

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9417 Issued in NC

Legal business name

D. H. LEE DMD PA CREEDMOOR

Doing business as

Creedmoor Dental

Practice address

505 N Main St
Creedmoor, NC 27522-8846

Phone

(919) 528-8700

NPI assigned

Jun 2, 2014

Last updated

Jun 2, 2014By 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. Donghoon Lee, DMD

Title

President

Phone

(919) 495-3589

Specialties & licenses 1

Addresses

Other names 1

• Creedmoor Dental Doing business as

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1558773168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N MAIN ST",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275228846",
            "telephone_number": "919-528-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N MAIN ST",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275228846",
            "telephone_number": "919-528-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. H. LEE DMD PA CREEDMOOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DONGHOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-495-3589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creedmoor Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Creedmoor Drug Company
• Creedmoor Wellness Center, PLLC
• Kimberly Ann Cross, LCSW
• Jane Carolyn Crowder, LCSW, LCAS
• Heather Thompson Currin, LPA, LCAS, CCS
• Tonya N Daniel, CD (DONA), IBCLC
• Glenn B Daniels
• Jessica Day
• Sonia De la Cruz
• Elvie Mercullo Dee, PT, DPT

• General Practice Dentistry in Creedmoor, NC
• Providers in Creedmoor, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.