Michael Lee DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE6021630 Issued in WA

Legal business name

MICHAEL LEE DDS PLLC

Practice address

8630 164TH Ave NE
Ste 202
Redmond, WA 98052-3606

Phone

(425) 968-2840

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

Michael LeeNPI 1356571756

Title

Contact

Phone

(425) 968-2840

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eastside Kids Dentistry 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.

• Michael C Lee, D.D.S.

  • Pediatric Dentistry
  • Redmond, WA
  • NPI 1356571756
  NPD (past) Authorized official

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1780009407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 164TH AVE NE",
            "address_2": "SUITE 202",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523606",
            "telephone_number": "425-968-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 164TH AVE NE",
            "address_2": "STE 202",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523606",
            "telephone_number": "425-968-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL LEE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CONTACT",
        "authorized_official_telephone_number": "425-968-2840"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE6021630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024262",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William C Merrick Jr., LMP
• Ashley N Merryman, DDS
• Frederique Messier, MD
• Felisha R Meusey, LMP
• Kimberly E. Mey, MSPT
• Steven Michalski
• Vanessa G Michel, OD
• Gina Mickle
• John Edward Midtling, MD
• Douglas R. Migden, D.O.

• Dental Clinic/Center in Redmond, WA
• Providers in Redmond, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.