Lee'S Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6813 Issued in NV

Legal business name

LEE'S DENTAL PC

Practice address

7477 West Lake Mead Blvd
Las Vegas, NV 89128

Phone

(702) 737-6080

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Charles Ki Cheol Lee, D.D.S.

Title

Owner/Dentist

Phone

(702) 737-6080

Specialties & licenses 1

Addresses

Other names 1

• Charming Smiles General and Cosmetic Dentistry Doing business as

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1780130492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7477 WEST LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-737-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7477 WEST LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-737-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE'S DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KI CHEOL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "702-737-6080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "6813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charming Smiles General and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yue Lan Lee
• Yuk Yu Lee
• Yuki Candy Lee
• Yulia Lee
• Yvonne Lee, MD
• Justin Andrew Leeka, DO
• Suphansa Leeka
• Gopalakrishna Iyengar Leela, MD
• Kelcie Leeming, PTA
• Jennifer A Leepard, MD

• Dental Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.