Organization Active NPI

Lee'S Classis Dentistry

  • Dentist
  • Safford, AZ
National Provider Identifier
1699964353
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5295 Issued in AZ
Legal business name
LEE'S CLASSIS DENTISTRY
Practice address
813 W Court St S
Safford, AZ 85546-2820
Phone
(928) 428-7095
Fax
(928) 348-0506
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Mrs. Kathleen R Williams
Title
Office Manager
Phone
(928) 428-7095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5295 AZ Primary

Addresses

Primary practice location

813 W Court St S
Safford, AZ 85546-2820

Mailing address

813 W Court St S
Safford, AZ 85546-2820
Phone (928) 428-7095

National Provider Directory

National Provider Directory

Locations

813 W Court St S
Safford, AZ 85546
Phone (928) 428-7095

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1699964353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 W COURT ST S",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462820",
            "telephone_number": "928-428-7095",
            "fax_number": "928-348-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 W COURT ST S",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462820",
            "telephone_number": "928-428-7095",
            "fax_number": "928-348-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE'S CLASSIS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-428-7095",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.