Carter Conrad Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601275 Issued in MI

Practice address

2360 E Stadium Blvd Ste 14
Ann Arbor, MI 48104-4887

Phone

(734) 677-0793

NPI assigned

Jun 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1679202659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10495 S TOWER RD",
            "city": "MAPLE CITY",
            "state": "MI",
            "postal_code": "496649787",
            "telephone_number": "231-633-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 E STADIUM BLVD STE 14",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044887",
            "telephone_number": "734-677-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CARTER",
        "middle_name": "CONRAD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biyyiah Lee, BSN
• Brian Woobin Lee, MD
• Brinna Lee
• Carol Ann Lee, LLMSW
• Carolyn Lee
• Chia-Ming Lee, DO
• Dahmi Lee, MD
• Deborah Carol Lee
• Deborah Lynne Lee, MD
• Diane Lee, MD

• General Practice Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.