Organization Active NPI

Dr. Smilee-Killeen, LLC

  • General Practice Dentistry
  • Killeen, TX
National Provider Identifier
1790534592
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR. SMILEE-KILLEEN, LLC
Practice address
1001 S Fort Hood St Ste 1001-B
Killeen, TX 76541-7448
Phone
(214) 578-3047
NPI assigned
May 14, 2024
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Dr. Jong Hyung Lee, DDSNPI 1053837039
Title
Practice Owner
Phone
(254) 732-2606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1001 S Fort Hood St Ste 1001-B
Killeen, TX 76541-7448

Mailing address

1230 N Valley Mills Dr Ste 100
Waco, TX 76710-4402
Phone (254) 732-2606

National Provider Directory

National Provider Directory

Locations

1001 S Fort Hood St
Ste 1001B
Killeen, TX 76541
Phone (214) 578-3047

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1790534592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 N VALLEY MILLS DR STE 100",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104402",
            "telephone_number": "254-732-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S FORT HOOD ST STE 1001-B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417448",
            "telephone_number": "214-578-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SMILEE-KILLEEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONG HYUNG",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "254-732-2606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.