Dr. JJ Lee Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. JJ LEE DENTAL CORPORATION

Practice address

2005 S Miller St
Santa Maria, CA 93454-7849

Phone

(805) 922-7318

NPI assigned

Jun 7, 2021

Last updated

Jun 7, 2021By 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

Jae Jin Lee, DDSNPI 1982734364

Title

President

Phone

(805) 922-7318

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, and the practitioner matching its NPPES authorized official.

• Jae Jin Lee, DDS

  • Dentist
  • Santa Maria, CA
  • NPI 1982734364
  NPD Authorized official
• John Thomas Whelan, DDS

  • Dentist
  • Santa Maria, CA
  • NPI 1669694758
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1598332827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 S MILLER ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547849",
            "telephone_number": "805-922-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 S MILLER ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547849",
            "telephone_number": "805-922-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JJ LEE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAE JIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-922-7318",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Doyle, RN
• Tory Michelle Doyle, SUDCC II-CS
• Dr Carolyn R Baldiviez Dental Corporation
• Dr Galan MD Neurology and Pain Management PC
• Dr. Adrian Krulewecki, DDS, Dental Corporation
• Dr. Richard J. Healy D.D.S. Inc.
• Dr. Stephanie Foster, PHD, Otr/L
• Dr. Vivian Le DDS, Inc
• Devin L Drake
• Joyce Dua

• Dental Clinic/Center in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.