Andrew D. Lee DDS, a Dental Corporation

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ANDREW D. LEE DDS, A DENTAL CORPORATION

Doing business as

Concord Dental Specialty

Practice address

2917 Salvio St Ste C
Concord, CA 94519-2580

Phone

(925) 687-2500

NPI assigned

Dec 14, 2020

Organization subpart

No

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

Authorized official

Name

Andrew D Lee, DDSNPI 1700297819

Title

President

Phone

(410) 456-6826

Specialties & licenses 1

Addresses

Other names 1

• Concord Dental Specialty 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.

• Andrew Lee, DDS

  • Endodontics
  • Fairfield, CA
  • NPI 1700297819
  NPD Authorized official

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1780270736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 SALVIO ST STE C",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192580",
            "telephone_number": "925-687-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 SALVIO ST STE C",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192580",
            "telephone_number": "925-687-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW D. LEE DDS, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-456-6826",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Dental Specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Consuelo Andrade
• Gloria Andrade, D.C.
• Nancy Andrade
• Andreas Kamlot MD, a Medical Corportation
• Andres Caicedo a Proffesional Corporation
• Julie Margarita Andrews Junco
• Delionn Michele Aaliyah Andrews
• Kyla Theora Andrews
• Theresa Andrews
• Melanie Marie Anello, N.P.-C

• Endodontics in Concord, CA
• Providers in Concord, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.