Organization Active NPI

DRS. Davis & Lee, DDS, PA

Doing business as Blue Water Pediatric Dentistry

  • Pediatric Dentistry
  • Holly Springs, NC
National Provider Identifier
1598007601
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DRS. DAVIS & LEE, DDS, PA
Doing business as
Blue Water Pediatric Dentistry
Practice address
2106 Werrington Dr
Holly Springs, NC 27540-3330
Phone
(919) 762-7013
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Dr. Boo Lee
Title
Secretary
Phone
(919) 762-7013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2106 Werrington Dr
Holly Springs, NC 27540-3330

Mailing address

2106 Werrington Dr
Holly Springs, NC 27540-3330

Other names 1

  • Blue Water Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2106 Werrington Dr
Holly Springs, NC 27540
Phone (919) 354-5400

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1598007601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 WERRINGTON DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275403330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 WERRINGTON DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275403330",
            "telephone_number": "919-762-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. DAVIS & LEE, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BOO",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "919-762-7013",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Water Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.