Lee Ockner, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901015415 Issued in MI

Practice address

29800 Harper Ave
#1
St Clair Shores, MI 48082-1655

Phone

(586) 294-1010

Fax

(586) 294-0314

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Perfect Smile Dental P.C.

  • Health Service Clinic/Center
  • Saint Clair Shores, MI
  • NPI 1043890106
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1801854526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29800 HARPER AVE",
            "address_2": "#1",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821655",
            "telephone_number": "586-294-1010",
            "fax_number": "586-294-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29800 HARPER AVE",
            "address_2": "#1",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821655",
            "telephone_number": "586-294-1010",
            "fax_number": "586-294-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCKNER",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in St Clair Shores, MI
• Providers in St Clair Shores, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.