Jared Lee DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JARED LEE DDS LLC

Practice address

712 W 12TH St
Suite 2
Juneau, AK 99801-1574

Phone

(907) 586-1188

Fax

(907) 586-4408

NPI assigned

Mar 23, 2016

Last updated

Mar 23, 2016By 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

Jared Lee

Title

Owner

Phone

(907) 586-1188

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1588026165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 W 12TH ST",
            "address_2": "SUITE 2",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011574",
            "telephone_number": "907-586-1188",
            "fax_number": "907-586-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W 12TH ST",
            "address_2": "SUITE 2",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011574",
            "telephone_number": "907-586-1188",
            "fax_number": "907-586-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED LEE DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-586-1188"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Juneau, AK
• Providers in Juneau, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.