Patrick W Lee Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

46094 Issued in CA

Legal business name

PATRICK W LEE DENTAL CORPORATION

Doing business as

ABC Kid's Dental

Practice address

2500 Alton Pkwy
Suite 206
Irvine, CA 92606-5024

Phone

(949) 833-7888

Fax

(949) 833-7887

NPI assigned

Aug 17, 2007

Last updated

Aug 17, 2007By 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

Dr. Patrick W Lee, DDSNPI 1326258112

Title

President

Phone

(949) 833-7888

Specialties & licenses 1

Addresses

Other names 1

• ABC Kid's Dental Doing business as

Locations

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.

• Patrick Wah Lee, D.D.S

  • Pediatric Dentistry
  • Irvine, CA
  • NPI 1326258112
  NPD (past) Authorized official

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1700078284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ALTON PKWY",
            "address_2": "SUITE 206",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065024",
            "telephone_number": "949-833-7888",
            "fax_number": "949-833-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ALTON PKWY",
            "address_2": "SUITE 206",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065024",
            "telephone_number": "949-833-7888",
            "fax_number": "949-833-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK W LEE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-833-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "46094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Kid's Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Path MD Inc
• Path to Mindful Therapy
• Pathcentral, Inc.
• Caitlin Danuta Patla, LCSW
• Robert Christian Cabasag Patricio
• Philip Patrick Jr., MD, MPH
• Roshny Antony Pattathu, M.D.
• Kasey Elizabeth Patterson
• Traci A Patterson
• William Patterson

• Pediatric Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.