Active NPI
Amanda R. Lee, DDS
- Pediatric Dentistry
- Hillsborough, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8957
- Practice address
- 310 Millstone Dr
Suite 1
Hillsborough, NC 27278 - Phone
- (919) 296-8584
- Fax
- (919) 296-1016
- NPI assigned
- Jun 23, 2010
- Last updated
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 10035 | TN | |
| Pediatric Dentistry | 1223P0221X | 8957 | NC | Primary |
Addresses
Primary practice location
310 Millstone Dr
Suite 1
Hillsborough, NC 27278
Mailing address
310 Millstone Dr
Suite 1
Hillsborough, NC 27278
Phone (919) 296-8584
Other practice location 1
3823 Guess Rd
Suite P
Durham, NC 27705-4220
Phone (919) 479-5800
Other practice location 2
310 Millstone Dr Ste 1
Hillsborough, NC 27278-8777
Phone (919) 360-8755
Other names 1
- Amanda Lee Seidl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10035 | TN | MD | Clinical Social Worker |
| 8957 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanda Lee DDS PA | Pediatric Dentistry | Current | Accepting new patients |
| Debora a. Bolton, DDS, PA | Past | Accepting new patients | |
| Aman Masoomi, DDS, PLLC | Past | Accepting new patients |
Locations
310 Millstone Dr
#1
Hillsborough, NC 27278
Phone (724) 953-5511
Interoperability endpoints
- aseidl433603@direct.unc.nchie.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hillsborough Pediatric Dentistry
- Pediatric Dentistry
- Hillsborough, NC
- NPI 1114430451
-
dba Willowdaile Family Dentistry
- General Practice Dentistry
- Durham, NC
- NPI 1598584781
-
dba Willowdaile Family Dentistry
- General Practice Dentistry
- Durham, NC
- NPI 1104007996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1740591924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 MILLSTONE DR",
"address_2": "SUITE 1",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "27278",
"telephone_number": "919-296-8584",
"fax_number": "919-296-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 MILLSTONE DR",
"address_2": "SUITE 1",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "27278",
"telephone_number": "919-296-8584",
"fax_number": "919-296-1016"
}
],
"practiceLocations": [
{
"address_1": "3823 Guess Rd",
"address_2": "Suite P",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277054220",
"country_code": "US",
"telephone_number": "919-479-5800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 Millstone Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Hillsborough",
"state": "NC",
"postal_code": "272788777",
"country_code": "US",
"telephone_number": "919-360-8755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "AMANDA",
"middle_name": "R.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "10035",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "8957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "SEIDL",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hillsborough, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.