Michael Wayne Lee II, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN012135 Issued in GA

Practice address

711 Northwood Cir
Winter Park, FL 32789-2424

Phone

(678) 923-6800

NPI assigned

Dec 18, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1760545115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 NORTHWOOD CIR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892424",
            "telephone_number": "678-923-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NORTHWOOD CIR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892424",
            "telephone_number": "678-923-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000944391A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DENTAL LICENSE",
            "identifier": "DN18529",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN012135",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Jo Leclaire, LCSW
• Candance Ledbetter, REGISTERED NURSE
• Ernestine Miller Lee, MD, MPH
• Ivy Lee, PMHNP
• Joseph Jung Hoon Lee, AP DOM
• Shawn Joseph Lee, MD
• Evelyn Nicole Leffler-Gutierrez, RBT
• Legacy Sports Physical Therapy LLC
• Esther Legiste
• Legs LLC

• Dentist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.