David D Lee DDS LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DAVID D LEE DDS LLC

Doing business as

Route 40 Family Dental

Practice address

9141 Baltimore National Pike
Ellicott City, MD 21042-3935

Phone

(410) 465-1868

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Dr. David Lee, DDSNPI 1407206840

Title

Owner/ Doctor

Phone

(410) 465-1868

Specialties & licenses 1

Addresses

Other names 1

• Route 40 Family Dental Doing business as

Practitioners 1

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.

• David Lee, DDS

  • Dentist
  • Ellicott City, MD
  • NPI 1407206840
  NPD Authorized official

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1659087369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7761 CRYSTAL BROOK WAY",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761869",
            "telephone_number": "410-971-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9141 BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423935",
            "telephone_number": "410-465-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D LEE DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "410-465-1868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Route 40 Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Reisinger Dant, CNS, LDN
• Yasmine Darrehmane, PT,DPT
• Lea Nina Iloreta Dauz, PT
• Mitul N Dave, MD
• Rupal Dave, P.T.
• Michelle David, PTA
• Risa Lynne Davis-Ganel, LCMFT
• Carmen Miles Davis, LCSW-C
• Celia M. Davis
• Christina Dawn Davis, RMP

• Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.