Jesse G. Lee, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JESSE G. LEE, D.D.S

Practice address

210 N Ellis Ave
Dunn, NC 28334-3807

Phone

(910) 892-2137

Fax

(910) 892-2546

NPI assigned

Jul 6, 2006

Last updated

Jun 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jesse G Lee, DDSNPI 1821026907

Title

President

Phone

(910) 892-2137

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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.

• Jesse G Lee

  • General Practice Dentistry
  • Dunn, NC
  • NPI 1821026907
  NPD (past) Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1811928831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N ELLIS AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283343807",
            "telephone_number": "910-892-2137",
            "fax_number": "910-892-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N ELLIS AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283343807",
            "telephone_number": "910-892-2137",
            "fax_number": "910-892-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE G. LEE, D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-892-2137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "545899",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995206",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "95206",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Carl Jaros, MD
• Antionette B Jennings, LCSW-A
• Angela Sue Jensen, MS/CCC-SLP/L
• Kristin Marie Jensen, PTA
• Mary Jernigan, LPC
• Johari Family Services, LLC
• Johnson Better Care Facility, Inc.
• Hannah Joy Johnson, OTR/L
• Janelle A. Johnson, LMFTA
• Lauren Kirsten Johnson, PA-C

• General Practice Dentistry in Dunn, NC
• Providers in Dunn, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.