Dental Spa of Orange

Primary specialty

DentistTaxonomy code 122300000X

License

47114 Issued in CA

Legal business name

DENTAL SPA OF ORANGE

Practice address

2291 N Tustin St
Orange, CA 92865-3703

Phone

(714) 282-2525

Fax

(714) 282-2527

NPI assigned

Nov 18, 2014

Last updated

Nov 18, 2014By 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. Danny Lee, D.M.D.

Title

Owner

Phone

(626) 859-2439

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1770989782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653703",
            "telephone_number": "714-282-2525",
            "fax_number": "714-282-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653703",
            "telephone_number": "714-282-2525",
            "fax_number": "714-282-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPA OF ORANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-859-2439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Gregg Denicola, MD
• Dennis R. Long, M.D. Inc.
• Alexander Dennis
• Meredith Leigh Dennis, PHD
• Reagan Caroline Denny
• Brooke Denton
• Reegan Alexa Deogracia, PA
• John Samuel Depaola, M.A.
• Depression & Bipolar Institute, Inc
• Grace Der Sahagian

• Dentist in Orange, CA
• Providers in Orange, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.