Organization Active NPI

Shandra Lee DMD PLLC

Doing business as Mount Vernon Root Canal Specialists

  • Endodontics
  • Mount Vernon, WA
National Provider Identifier
1730028812
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
SHANDRA LEE DMD PLLC
Doing business as
Mount Vernon Root Canal Specialists
Practice address
130 S 15TH St Ste 101
Mount Vernon, WA 98274-4569
Phone
(360) 428-4393
NPI assigned
Mar 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Dr. Shandra Lee, DMDNPI 1497729487
Title
Owner
Phone
(360) 428-4393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

130 S 15TH St Ste 101
Mount Vernon, WA 98274-4569

Mailing address

130 S 15TH St Ste 101
Mount Vernon, WA 98274-4569
Phone (360) 428-4393

Other names 1

  • Mount Vernon Root Canal Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

130 S 15th St
Ste 101
Mount Vernon, WA 98274
Phone (360) 428-4393

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1730028812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S 15TH ST STE 101",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744569",
            "telephone_number": "360-428-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S 15TH ST STE 101",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744569",
            "telephone_number": "360-428-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANDRA LEE DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-428-4393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Vernon Root Canal Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.