PB Lee Dental Group, Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PB LEE DENTAL GROUP, INC.

Practice address

4867 Eagle Rock Blvd Ste B
Los Angeles, CA 90041-2649

Phone

(323) 255-0193

Fax

(323) 999-6747

NPI assigned

Dec 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Peter Lee, DDS MSNPI 1669821633

Title

President

Phone

(323) 255-0193

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter B Lee, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
  • NPI 1669821633
  NPD Authorized official
• Joseph Bellissimo Jr.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1861619413
  NPD (past)

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1568058816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 EAGLE ROCK BLVD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412649",
            "telephone_number": "323-255-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 EAGLE ROCK BLVD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412649",
            "telephone_number": "323-255-0193",
            "fax_number": "323-999-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB LEE DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-20",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-255-0193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Pazak, CCC-SLP
• Jessica Pazirandeh
• Sheida Mariam Paziresh
• Isabella Pazmino, MFT
• Michael Pazsoldan
• PB Relief DME
• PCH Wellness Center, Inc.
• Eric Pcholinski
• PCS Discount Pharmacy Inc
• PCX Billing Systems

• Orthodontics and Dentofacial Orthopedics Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.